Provider Demographics
NPI:1730458795
Name:ARCHETTO, BENJAMIN M (BS, DPT)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:M
Last Name:ARCHETTO
Suffix:
Gender:M
Credentials:BS, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S HARDING HWY
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08326-1441
Mailing Address - Country:US
Mailing Address - Phone:856-982-3679
Mailing Address - Fax:
Practice Address - Street 1:6090 DANNENHAUER LN STE 4
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-1462
Practice Address - Country:US
Practice Address - Phone:856-982-3679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01426400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist