Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 22644 | CT |
N | 207XS0117X | Orthopaedic Spine Surgeon | 22644 | CT |
NPI | 1235169863 |
---|---|
Provider Name | Mr. Stuart C. Belkin |
First Address | Bridgeport, CT 06606-4201 |
Second Address | Monroe, CT 06468-2276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 01/04/2014 |