Individual
MRS. BILJANA SCOPULOVIC-NIKOLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4254
(201) 866-6770
(201) 866-6771
Mailing address
8100 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4254
(201) 866-6770
(201) 866-6771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09337000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0430421
—
NJ
Enumeration date
07/03/2008
Last updated
01/12/2017
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