| Maria G. Pyontek, Llc | |
|
1725 Highway 35 Suite B Wall NJ 07719-3488 | |
| (732) 681-1063 | |
| (732) 681-2922 |
| Full Name | Maria G. Pyontek, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1725 Highway 35, Wall, New Jersey |
| Authorized Official Name and Position | Maria G Pyontek (SOLE MEMBER) |
| Authorized Official Contact | 7326811063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria G. Pyontek, Llc 1725 Highway 35 Suite B Wall NJ 07719-3488 Ph: (732) 681-1063 | Maria G. Pyontek, Llc 1725 Highway 35 Suite B Wall NJ 07719-3488 Ph: (732) 681-1063 |
| NPI Number | 1649522467 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649522467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB06339900 (New Jersey) | Primary |
Vanitha Yadalla Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 Belmar Blvd, Wall, NJ 07719 Phone: 732-280-2727 |