Active NPIIndividual provider

Julie T Kidangan, DO

Family Medicine in Bloomfield, New Jersey

NPI Number1437470119
Practice location
1310 Broad St, Bloomfield, NJ 07003-3010
Fax
973-338-1097
Last updated
April 25, 2017

Julie Thomas Kidangan is a Family Medicine based in Bloomfield, NJ. Julie Thomas Kidangan practices in Bloomfield, NJ and has the professional credentials of DO. The NPI Number for Julie Thomas Kidangan is 1437470119 and holds a License No. 25MB09393100 (NJ). The current practice location address for Julie Thomas Kidangan is 1310 Broad St, Bloomfield, NJ 07003-3010 and can be reached out via phone at 973-338-0935 and via fax at 973-338-1097.

Provider Profile Details

NPI Number
1437470119
Provider Name
Julie Thomas Kidangan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1310 Broad St, Bloomfield, NJ 07003-3010
Phone Number
973-338-0935
Fax Number
973-338-1097
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
-- Julie M Thomas, DO (Former Name)
Provider Enumeration Date
June 17, 2010
Last Update Date
April 25, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1310 Broad St
Bloomfield, NJ 07003-3010
Zip
07003-3010
Phone Number
973-338-0935
Fax Number
973-338-1097
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
Po Box 419430
Boston, MA 02241-9430
City
Boston
State
MA
Zip
02241-9430
Phone Number
201-666-3900
Fax Number
201-261-0505

License Information

License Number
25MB09393100
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Julie T Kidangan, DO?

The NPI number of Julie T Kidangan, DO is 1437470119. It was assigned on June 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Julie T Kidangan, DO?

Julie T Kidangan, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB09393100.

Where does Julie T Kidangan, DO practice?

The practice location is 1310 Broad St, Bloomfield, NJ 07003-3010. The office can be reached at 973-338-0935 (phone) or 973-338-1097 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437470119 directly on the NPPES registry website.

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