Provider Demographics
NPI:1205060456
Name:BELLOTTI, GERALD A (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:A
Last Name:BELLOTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1724 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5263
Mailing Address - Country:US
Mailing Address - Phone:540-373-2349
Mailing Address - Fax:540-373-6053
Practice Address - Street 1:1724 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5263
Practice Address - Country:US
Practice Address - Phone:540-373-2349
Practice Address - Fax:540-373-6053
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101031923207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology