Provider Demographics
NPI:1831138536
Name:BELOK, STEELE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEELE
Middle Name:
Last Name:BELOK
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 1:300 MOUNT AUBURN ST S 412
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02238
Mailing Address - Country:US
Mailing Address - Phone:617-661-9744
Mailing Address - Fax:617-661-9121
Practice Address - Street 1:300 MOUNT AUBURN ST S 412
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02238
Practice Address - Country:US
Practice Address - Phone:617-661-9744
Practice Address - Fax:617-661-9121
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA36356207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2066971Medicaid
036356OtherTUFTS
B10001701OtherCIGNA
96988OtherHP
B48170OtherBS
18132OtherJH
B48170Medicare ID - Type Unspecified
B48170OtherBS