Organization
ESSEX PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMATHA R GADARLA M.D. (OWNER)
(704) 726-4358
Entity
Organization
Contact information
Practice address
526 BLOOMFIELD AVE STE 103, CALDWELL, NJ 07006-5525
(973) 239-1600
(973) 559-6188
Mailing address
825 BLOOMFIELD AVE, VERONA, NJ 07044-1366
(973) 794-1185
(973) 669-5988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08121700
NJ
Other
Enumeration date
06/19/2014
Last updated
06/05/2024
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