Provider Demographics
NPI:1912974973
Name:BELSON, JODI SCHWARTZ (CNM)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:SCHWARTZ
Last Name:BELSON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:LYNN
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:HARWICH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02646-0598
Mailing Address - Country:US
Mailing Address - Phone:508-905-2815
Mailing Address - Fax:747-209-3228
Practice Address - Street 1:49 HARRY KEMP WAY
Practice Address - Street 2:
Practice Address - City:PROVINCETOWN
Practice Address - State:MA
Practice Address - Zip Code:02657-1618
Practice Address - Country:US
Practice Address - Phone:508-487-9395
Practice Address - Fax:508-487-6298
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA259365207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology