# PREMIER MEDICINE AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346591351
- **Authorized official:** MRS. PRATHIBHA POTHARLANKA M.D. (PRESIDENT)
- **Authorized official phone:** (856) 465-7728

## Contact information

- **Practice address:** 231 CROSSWICKS RD STE 11, BORDENTOWN, NJ 08505-2602
- **Practice address phone:** (609) 298-7204
- **Practice address fax:** (609) 298-0491
- **Mailing address:** 30 BELMONT CIR, COLUMBUS, NJ 08022-9714
- **Mailing address phone:** (609) 789-0800
- **Mailing address fax:** (609) 450-7612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2012
- **Last updated:** 01/27/2021