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Individual

MICHAEL A BELFORT

Active
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Individual

MICHAEL A BELFORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
84221
GA
207V00000X
Obstetrics & Gynecology Physician
C52836
CA
207V00000X
Obstetrics & Gynecology Physician
J2928
TX
207VM0101X
Maternal & Fetal Medicine Physician
84221
GA
207VM0101X
Maternal & Fetal Medicine Physician
C52836
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
J2928
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200134010A
—
OK
05
—
30433711
—
CO
01
—
342000-1205
MEDICAL LICENSE
UT
01
—
J2928
MEDICAL LICENSE
TX
01
—
M9281
MEDICAL LICENSE
ID
Enumeration date
09/09/2005
Last updated
04/19/2024
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