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Individual

LUCIANO ROBERTO BELIZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9715 MEDICAL CENTER DR, STE. 530, ROCKVILLE, MD 20850-3320
(301) 279-7622
(301) 279-7624
Mailing address
5801 NICHOLSON LN, APT. 1232, ROCKVILLE, MD 20852-5719
(301) 984-1941

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0023752
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2127615
OPTIMUM CHOICE PROVIDER #
MD
01
3612200
AETNA PROVIDER #
MD
01
46277255
MULTIPLAN PROVIDER #
MD
01
675528
NCPPO PROVIDER #
MD
01
908253
FIRST HEALTH PROVIDER #
MD
01
J9900001
BLUE SHIELD PROVIDER #
DC
Enumeration date
03/08/2006
Last updated
04/01/2008
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