MEDICARE: DR. ROBERT B BELAFSKY MD

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	MA29660	NJ

General Provider Information

NPI Number	:	1881692895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT B BELAFSKY MD

Provider Business Mailing Address
First Line	:	PO BOX 95000-5585
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19195-5585
Country	:	US
Telephone Number	:	856-667-1575
Fax Number	:	856-210-2849

Provider Business Practice Location Address
First Line	:	200 BOWMAN DR
Second Line	:	SUITE D-285
City	:	VOORHEES
State	:	NJ
Zip	:	08043-9623
Country	:	US
Telephone Number	:	856-602-4000
Fax Number	:	856-946-1747

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/15/2015

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