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General NPI Number Information
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NPI Number | 1689371585
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Entity Type | Organization
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Legal Business Name | BOJANA JANKOVIC WEATHERLY MD OF NEW JERSEY PC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 1135 MINE HILL RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-2050
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Country | US
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Telephone | 646-627-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 WILSHIRE BLVD STE 1000W
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3463
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Country | US
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Telephone | 646-627-8000
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Fax | 646-368-8019
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Authorized Official
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Title or Position | PRESIDENT
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Name | BOJANA JANKOVIC WEATHERLY
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Credential | MD
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Telephone | 310-614-3697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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