Individual
MR. SAMUEL J BELLOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 KRAMER DR, CLARKSBURG, WV 26301-4264
(304) 709-2209
Mailing address
159 KRAMER DR, CLARKSBURG, WV 26301-4264
(304) 709-2209
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
UD001455404001
WV
Other
Enumeration date
08/23/2024
Last updated
10/19/2024
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