Individual
SANDHYA THAKALLAPALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 W LANDIS AVE, VINELAND, NJ 08360-8101
(856) 451-4700
(856) 451-8685
Mailing address
53 S LAUREL ST, FLOOR 2, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 451-8685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08538300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
03/17/2009
Last updated
03/17/2009
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