Provider Demographics
NPI:1740206457
Name:BELFER, HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:BELFER
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 1:101 N EL CAMINO REAL
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2700
Mailing Address - Country:US
Mailing Address - Phone:650-342-7604
Mailing Address - Fax:
Practice Address - Street 1:101 N EL CAMINO REAL
Practice Address - Street 2:SUITE 5
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2700
Practice Address - Country:US
Practice Address - Phone:650-342-7604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC412372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C412370Medicare PIN
CAA37552Medicare UPIN