Provider Demographics
NPI:1558893024
Name:MARC BELITSKY D.C., .PC.
Entity Type:Organization
Organization Name:MARC BELITSKY D.C., .PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:BELITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-353-2220
Mailing Address - Street 1:2633 W CHESTER PIKE
Mailing Address - Street 2:2633 WEST CHESTER PIKE
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-1930
Mailing Address - Country:US
Mailing Address - Phone:610-353-2220
Mailing Address - Fax:610-353-7062
Practice Address - Street 1:2633 WEST CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008
Practice Address - Country:US
Practice Address - Phone:610-353-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003758L261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1407883531OtherNPI
PA1407883531OtherNPI