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NPI Code Detail

MEDICARE: BELLA DJOUEJATI MSED

MEDICARE: BELLA DJOUEJATI MSED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist2931856NY

General Provider Information

NPI Number : 1932890035
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELLA DJOUEJATI MSED
Provider Business Mailing Address
First Line : 1856 E 9TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-3237
Country : US
Telephone Number : 917-873-1601
Fax Number :
Provider Business Practice Location Address
First Line : 2170 MCDONALD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2940
Country : US
Telephone Number : 917-873-1601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2023
Last Update Date : 05/18/2023

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Directions to “ BELLA DJOUEJATI MSED” Practice Location

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