Provider Demographics
NPI:1326444373
Name:DRS. BELICH & TORREGROSSA
Entity Type:Organization
Organization Name:DRS. BELICH & TORREGROSSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BELICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-294-0606
Mailing Address - Street 1:77 SCHANCK RD # 55
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2964
Mailing Address - Country:US
Mailing Address - Phone:732-294-0606
Mailing Address - Fax:732-294-0610
Practice Address - Street 1:77 SCHANCK RD # 55
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2964
Practice Address - Country:US
Practice Address - Phone:732-294-0606
Practice Address - Fax:732-294-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ17594261QD0000X
NJ17303261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental