Provider Demographics
NPI:1639109796
Name:BELSKY, ANDREI (MD)
Entity Type:Individual
Prefix:
First Name:ANDREI
Middle Name:
Last Name:BELSKY
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:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4088
Practice Address - Fax:215-612-4323
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD417813207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018819290004Medicaid
PA1342871OtherPERSONAL CHOICE
PA30020599OtherKEYSTONE MERCY
PA4245761OtherCIGNA
PA2035568000OtherKEYSTONE IBC
PA0018819290006Medicaid
PA01881929-04OtherAMERICHOICE
PA1342871OtherHIGHMARK BLUE SHIELD
PA0018819290005Medicaid
PA01697T,30563FOtherHEALTH PARTNERS
PAP00239045OtherRAILROAD MEDICARE
PA055275RDBMedicare PIN
PA1342871OtherHIGHMARK BLUE SHIELD