Individual
JENNIFER C BELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
326 WASHINGTON ST, WILLIAM W BACKUS HOSPITAL, NORWICH, CT 06360
(860) 889-8331
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041398
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010041398CT01
BLUE CROSS
—
01
—
2V7777
HEALTHNET
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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