Individual
DR. YEDAHALLI VANITHA PUTTASWAMY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(845) 469-9489
(201) 447-8491
Mailing address
9 SPLIT ROCK RD, CHESTER, NY 10918-1709
(845) 469-9489
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MA04943900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5523800
—
NJ
Enumeration date
05/16/2006
Last updated
07/08/2007
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