Individual
MS. NICOLE MARIE BELEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 ROUTE 70 E STE C, MARLTON, NJ 08053-1855
(856) 355-7176
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00552900
NJ
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0723762
—
NJ
Enumeration date
09/24/2019
Last updated
03/26/2026
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