Individual
RAJYALAKSHMI V. VADALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 IRENE CT, OLD BRIDGE, NJ 08857-2705
(732) 679-0660
(732) 679-7177
Mailing address
1 IRENE CT, OLD BRIDGE, NJ 08857-2705
(732) 679-0660
(732) 679-7177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07248500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8924805
—
NJ
Enumeration date
07/28/2005
Last updated
07/08/2007
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