Bellardini Kosc And Pavlou Mds Pa
Internal Medicine Physician in West Paterson, NJ(View on Map)
Legal Business Name
Bellardini Kosc And Pavlou Mds Pa
NPI Number
1285630194
NPI Type
Organization
Enumeration Date
06/24/2005
Specialties
(Taxonomies)Code
207R00000X
207Q00000X
207RG0100X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1130 MCBRIDE AVENUE
1130 MCBRIDE AVENUE
City
West Paterson
West Paterson
State
NJ
NJ
Postal Code
07424
07424
Country
US
US
Telephone Number
(973) 256-5557
(973) 256-5557
Authorized Official
Name
Angelo Bellardini
Title or Position
PRESIDENT
Telephone Number
(973) 256-5557
Identifiers
Identifier
0868546
5862571
1039300
CA0181
Identifier State
NJ
NJ
NJ
NJ
Identifier Issuer
AETNA HMO
AETNA PPO
Unknown
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022
Provider Address
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