Provider Demographics
NPI:1548269251
Name:BELCASTRO, WILLIAM J (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:BELCASTRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:299 CAREW ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2301
Mailing Address - Country:US
Mailing Address - Phone:413-737-2371
Mailing Address - Fax:413-788-7829
Practice Address - Street 1:299 CAREW ST
Practice Address - Street 2:SUITE 322
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2301
Practice Address - Country:US
Practice Address - Phone:413-737-2371
Practice Address - Fax:413-788-7829
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2012-11-16
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Provider Licenses
StateLicense IDTaxonomies
MA37640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0150983Medicaid
MA10517OtherHEALTH NEW ENGLAND
MAH23006OtherBCBS
MA037640OtherTUFTS HEALTH PLAN
MA739578OtherCONNECTICARE
MA2502849OtherAETNA
MA531980OtherCIGNA HEALTHSOURSE
MA65909OtherHARVARD PILGRIM
MA2502849OtherAETNA
MA531980OtherCIGNA HEALTHSOURSE
MAH23006Medicare PIN