Provider Demographics
NPI:1821727504
Name:BIDIKA, ERJOLA (MD)
Entity Type:Individual
Prefix:
First Name:ERJOLA
Middle Name:
Last Name:BIDIKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERJOLA
Other - Middle Name:
Other - Last Name:HAMELI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:603 GROVE ST APT 4L
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-1253
Mailing Address - Country:US
Mailing Address - Phone:347-599-7195
Mailing Address - Fax:
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1201
Practice Address - Country:US
Practice Address - Phone:347-249-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT227023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine