# BELLARDINI KOSC AND PAVLOU MDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285630194
- **Authorized official:** ANGELO G. BELLARDINI MD (PRESIDENT)
- **Authorized official phone:** (973) 256-5557

## Contact information

- **Practice address:** 1130 MCBRIDE AVENUE, WEST PATERSON, NJ 07424
- **Practice address phone:** (973) 256-5557
- **Practice address fax:** (973) 256-5036
- **Mailing address:** 1130 MCBRIDE AVENUE, WEST PATERSON, NJ 07424
- **Mailing address phone:** (973) 256-5557
- **Mailing address fax:** (973) 256-5036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NJ | — |
| 207R00000X | Internal Medicine Physician | — | NJ | Yes |
| 207RG0100X | Gastroenterology Physician | — | NJ | — |

## Other

- **Enumeration date:** 06/24/2005
- **Last updated:** 07/21/2022