Organization
PREMIER MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIBHA POTHARLANKA M.D. (PRESIDENT)
(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
(856) 465-7728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07690100
NJ
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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