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Individual

DR. SPARTACO BELLOMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.P.A.

Contact information

Practice address
142 PALISADE AVE, SUITE 209, JERSEY CITY, NJ 07306-1133
(201) 653-8336
(201) 653-6697
Mailing address
142 PALISADE AVE, SUITE 209, JERSEY CITY, NJ 07306-1133
(201) 653-8336
(201) 653-6697

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
NJ MA 39880
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1425706
NJ
Enumeration date
09/05/2005
Last updated
11/12/2010
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