MEDICARE: MR. PETER CHARLES BELSKY

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	103K00000X	Behavior Analyst	1-01-0477

General Provider Information

NPI Number	:	1306160494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER CHARLES BELSKY

Provider Business Mailing Address
First Line	:	277 PINELLI DR
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-2264
Country	:	US
Telephone Number	:	732-667-3066
Fax Number	:

Provider Business Practice Location Address
First Line	:	277 PINELLI DR
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-2264
Country	:	US
Telephone Number	:	732-667-3066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	03/18/2010

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