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Contact Information

KATIE M BENEDETTI, PA-C
20 CATAMORE BLVD
EAST PROVIDENCE, RI02914
 Phone: 617-726-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATIE M BENEDETTI · (Female)

NPI # 1912281213
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/05/2011
Last updated 05/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # PA4238
  • RI License # PA00964
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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