Belsky, Mark

Belsky, Mark is an individual health care provider with primary practice located at 675 Tower Ave , Hartford CT 06112-1260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Belsky, Mark can be contacted via phone (860) 714-2913.

Contact Information

Primary practice address
675 Tower Ave Hartford CT 06112-1260
Phone: (860) 714-2913
Fax: (860) 714-8988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 021775 Connecticut

Profile Details

NPI number 1548284474
LBN Legal business name Belsky, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548284474 NPPES
Connecticut Other 010021775CT01 ANTHEM BLUE SHIELD
Connecticut Other 0V4801 ANTHEM BLUE SHIELD
Connecticut MEDICAID 001217751 ANTHEM BLUE SHIELD

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