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NPI Code Detail

MEDICARE: DR. DAVID ANTHONY BELVEDERE M.D.

MEDICARE: DR. DAVID ANTHONY BELVEDERE M.D.
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
1207RC0000XCardiovascular Disease Physician35061281OH
2207UN0901XNuclear Cardiology Physician35061281OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118816995850OTHERPANPI#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
318816995850OTHEROHNPI #

General Provider Information

NPI Number : 1881699585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ANTHONY BELVEDERE M.D.
Provider Business Mailing Address
First Line : 715 E WESTERN RESERVE RD
Second Line :
City : POLAND
State : OH
Zip : 44514-3358
Country : US
Telephone Number : 330-726-3204
Fax Number : 330-729-9316
Provider Business Practice Location Address
First Line : 715 E WESTERN RESERVE RD
Second Line :
City : POLAND
State : OH
Zip : 44514-3358
Country : US
Telephone Number : 330-726-3204
Fax Number : 330-729-9316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/19/2016

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