Healthcare Provider Details

I. General information

NPI: 1194090373
Provider Name (Legal Business Name): DOROTHY HELEN BELUS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DOROTHY HELEN HELTZMAN RPH

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WEALTHY AVE
NORTH MIDDLETOWN NJ
07748-5274
US

IV. Provider business mailing address

1 WEALTHY AVE
NORTH MIDDLETOWN NJ
07748-5274
US

V. Phone/Fax

Practice location:
  • Phone: 732-471-0699
  • Fax: 732-741-2274
Mailing address:
  • Phone: 732-471-0699
  • Fax: 732-741-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02357100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: