Organization

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

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