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Individual
THOMAS CHARLES BELLER
Active
Individual
THOMAS CHARLES BELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
26810
SC
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
26810
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4321
—
SC
05
—
GP43210
—
SC
Enumeration date
12/02/2005
Last updated
05/08/2012
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