Provider Demographics
NPI:1447753587
Name:BELMONT MEDICAL LLC
Entity Type:Organization
Organization Name:BELMONT MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FROELICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-852-4616
Mailing Address - Street 1:7209 LANCASTER PIKE STE 4
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9292
Mailing Address - Country:US
Mailing Address - Phone:516-852-4616
Mailing Address - Fax:
Practice Address - Street 1:7209 LANCASTER PIKE
Practice Address - Street 2:SUITE 4 # 1162
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9292
Practice Address - Country:US
Practice Address - Phone:516-852-4616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies