Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 27460 | CT |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 27460 | CT |
NPI | 1164425070 |
---|---|
Provider Name | Dr. Robert M Belniak |
First Address | New Britain, CT 06051-3916 |
Second Address | New Britain, CT 06052-1390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 11/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004214467 | (05) | CT |
010027460CT01 | BCBS & BCFP (01) | CT |
01227460 | CIGNA (01) | CT |
02746001 | CONNECTICARE (01) | CT |
060044 | HEALTH NET (01) | CT |
1255448155 | GHMC GROUP NPI ID (01) | CT |
200015189 | RAIL ROAD MEDICARE (01) | CT |
481697 | AETNA (01) | CT |
E39872 | (02) | |
P369851 | OXFORD (01) | CT |