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NPI Code Detail

MEDICARE: DR. ROBERT BELASCO MD

MEDICARE:  DR. ROBERT  BELASCO  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
1207RC0000XCardiovascular Disease PhysicianMD015526EPA

Other Identifiers

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

General Provider Information

NPI Number : 1972505618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT BELASCO MD
Provider Business Mailing Address
First Line : 207 N BROAD ST
Second Line : 3RD FLOOR
City : PHILA
State : PA
Zip : 19107-1500
Country : US
Telephone Number : 610-279-1370
Fax Number : 610-279-1372
Provider Business Practice Location Address
First Line : 609 WEST GERMANTOWN PIKE
Second Line : MEDICAL ARTS BUILDING - SUITE #120
City : EAST NORRITON
State : PA
Zip : 19403
Country : US
Telephone Number : 610-279-1370
Fax Number : 610-279-1372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 04/04/2025

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Directions to “ DR. ROBERT BELASCO MD” Practice Location

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