Provider Demographics
NPI:1194090373
Name:BELUS, DOROTHY HELEN (RPH)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:HELEN
Last Name:BELUS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:DOROTHY
Other - Middle Name:HELEN
Other - Last Name:HELTZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1 WEALTHY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-5274
Mailing Address - Country:US
Mailing Address - Phone:732-471-0699
Mailing Address - Fax:732-741-2274
Practice Address - Street 1:1 WEALTHY AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-5274
Practice Address - Country:US
Practice Address - Phone:732-471-0699
Practice Address - Fax:732-741-2274
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02357100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist