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NPI Code Detail

MEDICARE: DR. PETER CHARLES BELAFSKY MD, PHD

MEDICARE: DR. PETER CHARLES BELAFSKY MD, PHD
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
1207Y00000XOtolaryngology PhysicianA76009CA

General Provider Information

NPI Number : 1790768026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER CHARLES BELAFSKY MD, PHD
Provider Business Mailing Address
First Line : 2521 STOCKTON BLVD
Second Line : SUITE 7200
City : SACRAMENTO
State : CA
Zip : 95817-2207
Country : US
Telephone Number : 916-734-8181
Fax Number : 916-456-7509
Provider Business Practice Location Address
First Line : 2521 STOCKTON BLVD
Second Line : SUITE 7200
City : SACRAMENTO
State : CA
Zip : 95817-2207
Country : US
Telephone Number : 916-734-8181
Fax Number : 916-456-7509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/08/2007

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