Organization
VANI MADDALI MD LLC
Active
Other names
Essex Medical Center MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANI MADDALI M.D (M.D)
(973) 535-5227
Entity
Organization
Contact information
Practice address
22 OLD SHORT HILLS RD, SUITE #108, LIVINGSTON, NJ 07039-5604
(973) 535-5227
(973) 535-3406
Mailing address
29 SPRINGFIELD CT, PARSIPPANY, NJ 07054-2943
(973) 316-5820
(973) 535-3406
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA07029100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8522600
—
NJ
Enumeration date
11/23/2006
Last updated
08/22/2020
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