Individual
MR. BENJAMIN WILLIAM BELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT, NREMT
Contact information
Practice address
COMDT (CG-1122), US COAST GUARD 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(585) 919-6602
Mailing address
COMDT (CG-1122), US COAST GUARD 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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