Provider Demographics
NPI:1124462726
Name:BELLMUNT MOLINS, JOAQUIN (MD)
Entity type:Individual
Prefix:DR
First Name:JOAQUIN
Middle Name:
Last Name:BELLMUNT MOLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOAQUIM
Other - Middle Name:
Other - Last Name:BELLMUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:450 BROOKLINE AVE
Mailing Address - Street 2:DA 1230
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-3237
Mailing Address - Fax:617-632-2165
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:DA 1230
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:617-632-3237
Practice Address - Fax:617-632-2165
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253830207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology