Dibenedetto, Thomas D

Dibenedetto, Thomas D is an individual health care provider with primary practice located at 1250 S Cedar Crest Blvd Suite 110, Allentown PA 18103-6224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Dibenedetto, Thomas D can be contacted via phone (610) 435-1003.

Contact Information

Primary practice address
1250 S Cedar Crest Blvd Suite 110 Allentown PA 18103-6224
Phone: (610) 435-1003
Fax: (610) 435-3184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD040163E Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD040163E Pennsylvania

Profile Details

NPI number 1104822485
LBN Legal business name Dibenedetto, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104822485 NPPES
Pennsylvania MEDICAID 0011308410003

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