Individual
GEETA YALAMANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 UNION AVE STE 2A, BRIDGEWATER, NJ 08807-3064
(732) 423-8292
(908) 450-7737
Mailing address
7 SANTORA DR, RARITAN, NJ 08869-2313
(732) 423-8292
(908) 450-7737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08109500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017857380001
—
PA
01
—
1911046
HIGHMARK BLUE SHEILD
PA
01
—
2778772000
INDEPENCE BLUE CROSS
PA
01
—
P00366127
RAIL ROAD MEDICARE
PA
Enumeration date
10/17/2006
Last updated
02/27/2020
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