Organization
JWALANT VADALIA MD PC
Active
Organization
JWALANT VADALIA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JWALANT K VADALIA MD (PRESIDENT)
(603) 645-5977
Entity
Organization
Contact information
Practice address
138 WEBSTER STREET, MANCHESTER, NH 03104
(603) 645-5977
(603) 645-5980
Mailing address
PO BOX 3300, MANCHESTER, NH 03105
(603) 645-5977
(603) 645-5980
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010809
—
NH
01
—
CI6332
R MEDICARE
NH
Enumeration date
11/03/2006
Last updated
08/22/2020
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