Organization
BELMONT MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P. RANERE JR. M.D. (PRESIDENT)
(617) 864-8822
Entity
Organization
Contact information
Practice address
725 CONCORD AVE, SUITE 4100, CAMBRIDGE, MA 02138-1040
(617) 864-8822
Mailing address
725 CONCORD AVE, SUITE 4100, CAMBRIDGE, MA 02138-1040
(617) 864-8822
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
225084
MA
207N00000X
Dermatology Physician
78854
MA
207R00000X
Internal Medicine Physician
Primary
38799
MA
207R00000X
Internal Medicine Physician
38829
MA
207RG0100X
Gastroenterology Physician
38538
MA
207W00000X
Ophthalmology Physician
221205
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9712593
—
MA
Enumeration date
06/08/2006
Last updated
11/23/2015
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