Individual
THOMAS SALVATORE BELLAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
288 BOULEVARD STE 2, HASBROUCK HEIGHTS, NJ 07604-1319
(201) 288-6781
(201) 288-2734
Mailing address
288 BOULEVARD STE 2, HASBROUCK HEIGHTS, NJ 07604-1319
(201) 288-6781
(201) 288-2734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21636
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956201
—
NJ
Enumeration date
04/22/2006
Last updated
05/14/2019
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