| Vanitha Yadalla Md Llc | |
|
1729 Belmar Blvd Wall NJ 07719-3933 | |
| (732) 280-2727 | |
| Not Available |
| Full Name | Vanitha Yadalla Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1729 Belmar Blvd, Wall, New Jersey |
| Authorized Official Name and Position | Vanitha Yadalla (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7322802727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanitha Yadalla Md Llc 1729 Belmar Blvd Wall NJ 07719-3933 Ph: (732) 280-2727 | Vanitha Yadalla Md Llc 1729 Belmar Blvd Wall NJ 07719-3933 Ph: (732) 280-2727 |
| NPI Number | 1326200361 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326200361 | NPI | - | NPPES |
| 0054941 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Maria G. Pyontek, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 Highway 35, Suite B, Wall, NJ 07719 Phone: 732-681-1063 Fax: 732-681-2922 |