| Janardhan Bollu Md Pa | |
|
32 Hine St Paterson NJ 07503-2955 | |
| (973) 754-9600 | |
| Not Available |
| Full Name | Janardhan Bollu Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 32 Hine St, Paterson, New Jersey |
| Authorized Official Name and Position | Janardhan Bollu (OWNER) |
| Authorized Official Contact | 9737549600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janardhan Bollu Md Pa Po Box 7107 Colonia NJ 07067-7107 Ph: (973) 754-9600 | Janardhan Bollu Md Pa 32 Hine St Paterson NJ 07503-2955 Ph: (973) 754-9600 |
| NPI Number | 1205881190 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 01/23/2008 |
| Medicare PECOS PAC ID | 6709896699 |
|---|---|
| Medicare Enrollment ID | O20060421000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205881190 | NPI | - | NPPES |
| 7135106 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA059857 (New Jersey) | Primary |
| Provider Name | Michelle Mingqi Ye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265504062 PECOS PAC ID: 9234127713 Enrollment ID: I20040504000349 |
| Provider Name | Janardhan Bollu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952370819 PECOS PAC ID: 7113985896 Enrollment ID: I20041228000595 |
| Provider Name | Scott Merlin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124244009 PECOS PAC ID: 2163560897 Enrollment ID: I20091117000348 |
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