Provider Demographics
NPI:1568736783
Name:BELLITTI, JOHN C
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:C
Last Name:BELLITTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 RIDGE RD
Mailing Address - Street 2:C/O HB PHARMACY
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6318
Mailing Address - Country:US
Mailing Address - Phone:201-997-2010
Mailing Address - Fax:201-997-8488
Practice Address - Street 1:98 RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6318
Practice Address - Country:US
Practice Address - Phone:201-997-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01887100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist