| Vanitha Yadalla Md Llc | |
|
3350 Rte 138 Ste 117 Wall Township NJ 07719-9694 | |
| (732) 280-2727 | |
| (732) 280-1147 |
| Full Name | Vanitha Yadalla Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3350 Rte 138 Ste 117, Wall Township, New Jersey |
| Authorized Official Name and Position | Vanitha Yadalla (OWNER) |
| Authorized Official Contact | 7322802727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanitha Yadalla Md Llc 3350 Rte 138 Ste 117 Wall Township NJ 07719-9694 Ph: (732) 280-2727 | Vanitha Yadalla Md Llc 3350 Rte 138 Ste 117 Wall Township NJ 07719-9694 Ph: (732) 280-2727 |
| NPI Number | 1477919710 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 07/17/2025 |
| Medicare PECOS PAC ID | 8123567930 |
|---|---|
| Medicare Enrollment ID | O20240826000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477919710 | NPI | - | NPPES |
| Provider Name | Vanitha Yadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093702961 PECOS PAC ID: 3779566807 Enrollment ID: I20040610000451 |
| Provider Name | Angela Marie Bouton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245972215 PECOS PAC ID: 4688055882 Enrollment ID: I20220719003402 |
Cotler Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1937 Highway 35, Suite 2, Wall Township, NJ 07719 Phone: 732-449-0914 Fax: 732-449-5437 | |
Partners In Freedom Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3350 Hwy 138 Ste 217, Wall Township, NJ 07719 Phone: 732-974-1980 Fax: 732-681-0835 | |
Kathleen A Dowling, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Hwy 34, Building 1, Suite 103, Wall Township, NJ 07719 Phone: 732-280-7100 Fax: 732-280-7177 | |
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Premise Health Of New Jersey Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1427 Wyckoff Rd, Wall Township, NJ 07727 Phone: 732-256-5044 | |
Sandip Parikh Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2015 Tally Ho Dr, Wall Township, NJ 07719 Phone: 732-681-2737 Fax: 732-681-2737 | |
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