Provider Demographics
NPI:1285653410
Name:BELDING, RALPH MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:MICHAEL
Last Name:BELDING
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:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641
Mailing Address - Country:US
Mailing Address - Phone:802-371-4115
Mailing Address - Fax:
Practice Address - Street 1:130 FISHER ROAD
Practice Address - Street 2:CENTRAL VERMONT HOSPITAL
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05641
Practice Address - Country:US
Practice Address - Phone:802-371-4115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0425589207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0004933Medicaid
C65621Medicare UPIN
VTACG5621Medicare ID - Type Unspecified
VT0004933Medicaid