Doctor Name: | LUCIANO ROBERTO BELIZAN |
NPI Number: | 1346217338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0023752 |
Business Practice Address: | 9715 Medical Center Dr Ste. 530 Rockville, MD - 208503320 |
Business Phone Number: | 3012797622 |
Business Fax Number: | 3012797624 |
Mailing Address: | 5801 Nicholson Ln, Apt. 1232 ROCKVILLE |
State: | MD |
Postal Code: | 208525719 |
Phone Number: | 3019841941 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0023752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |