Provider Demographics
NPI:1144285701
Name:BELGRADE, JOSEPH MARTIN (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MARTIN
Last Name:BELGRADE
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 1:1941 LIMESTONE RD
Mailing Address - Street 2:STE 213
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5434
Mailing Address - Country:US
Mailing Address - Phone:302-890-2100
Mailing Address - Fax:302-992-9017
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:STE 213
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5434
Practice Address - Country:US
Practice Address - Phone:302-890-2100
Practice Address - Fax:302-992-9017
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067498174400000X
DEC1-0002968208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty