MEDICARE: BELMAR WOMENS CARE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073613881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELMAR WOMENS CARE P.C.

Provider Business Mailing Address
First Line	:	7114 W JEFFERSON AVE STE 205
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2356
Country	:	US
Telephone Number	:	303-531-4692
Fax Number	:	303-741-5499

Provider Business Practice Location Address
First Line	:	7114 W JEFFERSON AVE STE 205
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80235-2356
Country	:	US
Telephone Number	:	303-531-4692
Fax Number	:	303-741-5499

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	LAURA ROKOSZ
Credential	:	MD
Telephone Number	:	303-531-4692

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/16/2021

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