| Vanitha Yadalla Md Llc | |
|
3350 Rte 138 Suite 128, Bldg 2 Wall Township NJ 07719-9693 | |
| (732) 280-2727 | |
| (732) 280-1147 |
| Full Name | Vanitha Yadalla Md Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3350 Rte 138, Wall Township, New Jersey |
| Authorized Official Name and Position | Vanitha Yadalla (OWNER) |
| Authorized Official Contact | 7325214636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanitha Yadalla Md Llc 3350 Rte 138 Suite 128, Bldg 2 Wall Township NJ 07719-9693 Ph: (732) 280-2727 | Vanitha Yadalla Md Llc 3350 Rte 138 Suite 128, Bldg 2 Wall Township NJ 07719-9693 Ph: (732) 280-2727 |
| NPI Number | 1477919710 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477919710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA07674100 (New Jersey) | Primary |
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