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Organization
VADAKARA INTERNAL MEDICINE ASSOCIATES PA
Active
Organization
VADAKARA INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKOSE VADAKARA MD (PHYSICIAN)
(609) 584-1001
Entity
Organization
Contact information
Practice address
2117 KLOCKNER RD, HAMILTON, NJ 08690-3417
(609) 584-1001
(609) 584-0404
Mailing address
2117 KLOCKNER RD, HAMILTON, NJ 08690-3417
(609) 584-1001
(609) 584-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110350
HORIZON NJ HEALTH
—
01
—
2144772001
KEYSTONE
—
01
—
2946A
UNIVERSITY HEALTH PLAN
—
01
—
58765
AMERIGROUP
—
05
—
8018006
—
NJ
Enumeration date
03/14/2007
Last updated
05/06/2010
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