Organization
SSS PHYSICAL MEDICINE & REHABILITATION SVCS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANI B ANDAVOLU MD (DIRECTOR)
(609) 683-3828
Entity
Organization
Contact information
Practice address
253 WITHERSPOON STREET, UNIVERSITY MEDICAL CENTER AT PRINCETON, PRINCETON, NJ 08540-3211
(609) 497-3022
(609) 964-1666
Mailing address
9 JUSTICE CT, PRINCETON, NJ 08540-9545
(609) 683-3828
(609) 964-1666
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05450300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7227604
—
NJ
Enumeration date
02/13/2008
Last updated
05/13/2009
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