Individual
BELDEN LOUIS DIVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
105 ERDMAN WAY, LEOMINSTER, MA 01453-1805
(978) 537-7552
(978) 537-7383
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
216
MA
Other
Enumeration date
06/11/2006
Last updated
05/31/2012
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