Provider Demographics
NPI:1407868052
Name:WEICHOLZ & BELKIN MD'S
Entity Type:Organization
Organization Name:WEICHOLZ & BELKIN MD'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:TUCKER
Authorized Official - Last Name:BELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-384-8248
Mailing Address - Street 1:2060 BLACK ROCK TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825
Mailing Address - Country:US
Mailing Address - Phone:203-384-8248
Mailing Address - Fax:203-336-1228
Practice Address - Street 1:2060 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825
Practice Address - Country:US
Practice Address - Phone:203-384-8248
Practice Address - Fax:203-336-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC01604Medicare PIN