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Organization

EDISON MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANARDHAN BOLLU MD (OWNER)
(732) 603-6003
Entity
Organization

Contact information

Practice address
1819 OAK TREE RD, EDISON, NJ 08820-2740
(732) 603-6003
(732) 662-7082
Mailing address
1819 OAK TREE RD, EDISON, NJ 08820-2740
(732) 603-6003
(732) 662-7082

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05985700
NJ

Other

Enumeration date
01/14/2016
Last updated
03/02/2017
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