Provider Demographics
NPI:1366623068
Name:BELLET, ROBERT ERNEST (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ERNEST
Last Name:BELLET
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 1:6407 LILAC CT
Mailing Address - Street 2:
Mailing Address - City:UPPER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19446-7631
Mailing Address - Country:US
Mailing Address - Phone:215-920-5874
Mailing Address - Fax:
Practice Address - Street 1:6407 LILAC CT
Practice Address - Street 2:
Practice Address - City:UPPER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19446-7631
Practice Address - Country:US
Practice Address - Phone:215-920-5874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD010913E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine