Bellomo, Spartaco

Bellomo, Spartaco is an sole proprietor health care provider with primary practice located at 142 Palisade Ave Suite 209, Jersey City NJ 07306-1133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bellomo, Spartaco can be contacted via phone (201) 653-8336.

Contact Information

Primary practice address
142 Palisade Ave Suite 209 Jersey City NJ 07306-1133
Fax: (201) 653-6697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X NJ MA 39880 New Jersey

Profile Details

NPI number 1790779833
LBN Legal business name Bellomo, Spartaco
Credentials M.D.P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2005
Last updated Nov 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790779833 NPPES
New Jersey MEDICAID 1425706

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