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NPI Verification

National Provider Identifier: 1700868452

Russell E. Belenchia, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine, Geriatric Medicine

Code: 207QG0300X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine, Geriatric Medicine

Code: 207QG0300X

Primary

Practice Address

24345 HIGHWAY 15

UNION, MS 393658575

Phone: 601-774-8211

NPI Enumeration Date

November 17, 2005

NPI Number

1700868452

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry