Active NPIIndividual provider

David J Dibenedetto, MD

Pain Medicine, Interventional Pain Medicine in Waltham, Massachusetts

NPI Number1770599029
Practice location
85 1ST Ave, Waltham, MA 02451-1105
Fax
—
Last updated
February 23, 2017

David J Dibenedetto is a Pain Medicine, Interventional Pain Medicine based in Waltham, MA. David J Dibenedetto practices in Waltham, MA and has the professional credentials of MD. The NPI Number for David J Dibenedetto is 1770599029 and holds a License No. 150895 (MA). The current practice location address for David J Dibenedetto is 85 1ST Ave, Waltham, MA 02451-1105 and can be reached out via phone at 781-894-5522.

Provider Profile Details

NPI Number
1770599029
Provider Name
David J Dibenedetto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 1ST Ave, Waltham, MA 02451-1105
Phone Number
781-894-5522
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
February 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 1ST Ave
Waltham, MA 02451-1105
Zip
02451-1105
Phone Number
781-894-5522
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
85 1ST Ave
Waltham, MA 02451-1105
City
Waltham
State
MA
Zip
02451-1105
Phone Number
781-894-5522

License Information

License Number (1)
150895
License State (1)
MA
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
150895
License State (2)
MA
Taxonomy (2)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David J Dibenedetto, MD?

The NPI number of David J Dibenedetto, MD is 1770599029. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of David J Dibenedetto, MD?

David J Dibenedetto, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in MA under license number 150895.

Where does David J Dibenedetto, MD practice?

The practice location is 85 1ST Ave, Waltham, MA 02451-1105. The office can be reached at 781-894-5522 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770599029 directly on the NPPES registry website.

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