| Peter J Bellafiore Md, Inc | |
|
70 Kenyon Ave Suite 321 Wakefield RI 02879-4239 | |
| (401) 789-4885 | |
| (401) 792-0201 |
| Full Name | Peter J Bellafiore Md, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 70 Kenyon Ave, Wakefield, Rhode Island |
| Authorized Official Name and Position | Peter J Bellafiore (OWNER) |
| Authorized Official Contact | 4017894885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Bellafiore Md, Inc 70 Kenyon Ave Suite 321 Wakefield RI 02879-4239 Ph: (401) 789-4885 | Peter J Bellafiore Md, Inc 70 Kenyon Ave Suite 321 Wakefield RI 02879-4239 Ph: (401) 789-4885 |
| NPI Number | 1982758207 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911056338 |
|---|---|
| Medicare Enrollment ID | O20090514000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982758207 | NPI | - | NPPES |
| 20877 | Other | RI | BCBS OF RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD8924 (Rhode Island) | Primary |
| Provider Name | Peter J Bellafiore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881753135 PECOS PAC ID: 3779632245 Enrollment ID: I20090513000262 |
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