Organization
PRATHIBHA POTHARLANKA LLC
Active
Other names
Advance Medicine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATHIBHA POTHARLANKA MD (OWNER)
(856) 465-7728
Entity
Organization
Contact information
Practice address
30 BELMONT CIR, COLUMBUS, NJ 08022-9714
(856) 465-7728
Mailing address
30 BELMONT CIR, COLUMBUS, NJ 08022-9714
(650) 814-6563
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/03/2023
Last updated
10/27/2023
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