Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MB04814600 | NJ |
NPI | 1093809238 |
---|---|
Provider Name | Martin Karl Belsky |
First Address | Marlton, NJ 08053-2146 |
Second Address | Marlton, NJ 08053-2146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 04/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1224506 | (05) | NJ |
E53484 | (02) |