Provider Demographics
NPI:1174028864
Name:BELSER, ERIC RYAN (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:RYAN
Last Name:BELSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 BRISTOL PIKE UNIT 211
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5736
Mailing Address - Country:US
Mailing Address - Phone:215-638-0555
Mailing Address - Fax:
Practice Address - Street 1:2217 BRISTOL PIKE UNIT 211
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5736
Practice Address - Country:US
Practice Address - Phone:215-638-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD472899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program