Individual
MITCHELL JOSEPH BELLUCCI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
192 WEST ST, SUITE 4, MILFORD, MA 01757-2239
(508) 478-6205
(508) 478-5139
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130554
HARVARD PILGRIM HEALTH
MA
05
—
3011488
—
MA
01
—
3912
FALLON HEALTH PLAN
MA
01
—
709081
TUFTS HEALTH PLAN
MA
01
—
J05794
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/31/2006
Last updated
07/08/2007
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