Provider Demographics
NPI:1356737274
Name:BELANGER, APRIL (PA-C)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:BELANGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PARC PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01073-9277
Mailing Address - Country:US
Mailing Address - Phone:141-352-9928
Mailing Address - Fax:141-352-7752
Practice Address - Street 1:6 PARC PL
Practice Address - Street 2:SUITE A
Practice Address - City:SOUTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01073-9277
Practice Address - Country:US
Practice Address - Phone:141-352-9928
Practice Address - Fax:141-352-7752
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPA5337363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical