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Individual

JOSEPH BELANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8 INDEPENDENCE DR, SUITE 2, MARLBOROUGH, CT 06447-1408
(860) 295-0572
(860) 295-1201
Mailing address
8 INDEPENDENCE DR, SUITE 2, MARLBOROUGH, CT 06447-1408
(860) 295-0572
(860) 295-1201

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004745
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-0004745CT02
ANTHEM BLUE CROSS/ BLUE SHIELD
CT
Enumeration date
04/30/2008
Last updated
05/02/2008
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