Organization
JANARDHAN BOLLU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANARDHAN BOLLU MD (OWNER)
(973) 754-9600
Entity
Organization
Contact information
Practice address
32 HINE ST, PATERSON, NJ 07503-2955
(973) 754-9600
Mailing address
PO BOX 7107, COLONIA, NJ 07067-7107
(973) 754-9600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA059857
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7135106
—
NJ
Enumeration date
05/23/2006
Last updated
01/23/2008
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