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Organization
VANITHA YADALLA MD LLC
Active
Organization
VANITHA YADALLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANITHA YADALLA MD (OWNER)
(732) 280-2727
Entity
Organization
Contact information
Practice address
3350 RTE 138 STE 117, WALL TOWNSHIP, NJ 07719-9694
(732) 280-2727
(732) 280-1147
Mailing address
3350 RTE 138 STE 117, WALL TOWNSHIP, NJ 07719-9694
(732) 280-2727
(732) 280-1147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0005X
Hypertension Specialist Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
12/31/2015
Last updated
07/17/2025
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