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Vanitha Yadalla Md Llc
Primary Care Clinic/Center in Wall Township, New Jersey
NPI 1477919710

Vanitha Yadalla Md Llc is a Primary Care Clinic/Center based in Wall Township, NJ and is specialized in Primary Care. Vanitha Yadalla Md Llc practices in Wall Township, NJ. The NPI Number for Vanitha Yadalla Md Llc is 1477919710 and holds a License No. 25MA07674100 (New Jersey).

The current practice location address for Vanitha Yadalla Md Llc is 3350 Rte 138, Wall Township, NJ and can be reached out via phone at 732-280-2727 and via fax at 732-280-1147.

Location: 3350 Rte 138, Wall Township, NJ, 07719-9693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477919710
Provider Name
Vanitha Yadalla Md Llc
Credential
Provider Entity Type
Organization
Address
3350 Rte 138, Wall Township, NJ, 07719-9693
Phone Number
732-280-2727
Fax Number
732-280-1147
Provider Enumeration Date
12/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3350 Rte 138
City
Wall Township
State
New Jersey
Zip
07719-9693
Phone Number
732-280-2727
Fax Number
732-280-1147
person
Provider Business Mailing Address Details
Address
3350 Rte 138
City
Wall Township
State
New Jersey
Zip
07719-9693
Phone Number
732-280-2727
Fax Number
732-280-1147
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
25MA07674100 (New Jersey)
Definition
Definition to come...
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