Organization
PREMIER MEDICINE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRATHIBHA POTHARLANKA M.D. (PRESIDENT)
(856) 465-7728
Entity
Organization
Contact information
Practice address
231 CROSSWICKS RD STE 11, BORDENTOWN, NJ 08505-2602
(609) 298-7204
(609) 298-0491
Mailing address
30 BELMONT CIR, COLUMBUS, NJ 08022-9714
(609) 789-0800
(609) 450-7612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
01/27/2021
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