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Contact Information

INDIRA BOLLAMPALLY, MD
1540 HWY 138
SUITE208
WALL TOWNSHIP, NJ07719-3763
 Phone: 732-681-9045
 Fax: 732-681-9494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INDIRA BOLLAMPALLY · (Female)

NPI Number 1609856913
Status Active
Credentials MD
Entity Individual
Enumeration date 01/20/2006
Last updated 06/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA39866
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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