| Dr. Benaderet Select Care, Pc | |
|
728 Post Rd E Ste 200 Westport CT 06880-5200 | |
| (203) 889-5532 | |
| Not Available |
| Full Name | Dr. Benaderet Select Care, Pc |
|---|---|
| Speciality | General Practice |
| Location | 728 Post Rd E Ste 200, Westport, Connecticut |
| Authorized Official Name and Position | Steven Benaderet (OWNER) |
| Authorized Official Contact | 2032731935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Benaderet Select Care, Pc 273 Sturges Hwy Westport CT 06880-1722 Ph: () - | Dr. Benaderet Select Care, Pc 728 Post Rd E Ste 200 Westport CT 06880-5200 Ph: (203) 889-5532 |
| NPI Number | 1215777800 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 2365981073 |
|---|---|
| Medicare Enrollment ID | O20240826004131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215777800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven T Benaderet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699719724 PECOS PAC ID: 1557364403 Enrollment ID: I20060814000383 |
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