Individual
DR. NICHOLAS JOHN BELITSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4924 CAMPBELL BLVD, BALTIMORE, MD 21236-5908
(443) 442-2300
(443) 442-2360
Mailing address
4924 CAMPBELL BLVD, BALTIMORE, MD 21236-5908
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0018269
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264841500
—
MD
01
—
CI6149
RAILROAD MEDICARE
GA
Enumeration date
07/12/2006
Last updated
05/09/2013
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