Individual
MR. JEFFREY J BILOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3903 S 7TH ST, SUITE 1F, TERRE HAUTE, IN 47802-5710
(812) 323-5900
(812) 232-2370
Mailing address
3903 SOUTH 7TH STREET, SUITE 1F, TERRE HAUTE, IN 47802
(812) 323-5900
(812) 232-2370
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01037430A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252180A
—
IN
Enumeration date
05/19/2006
Last updated
11/10/2011
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