Individual
RENETTE BELIZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9692 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 599-7300
(301) 599-0476
Mailing address
9692 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 599-7300
(301) 599-0476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0051975
MD
2080A0000X
Pediatric Adolescent Medicine Physician
D0051975
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025800800
PRACTICE MMA ID#
MD
05
—
669520500
—
MD
Enumeration date
01/29/2007
Last updated
06/19/2012
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