Individual
VANI BHAVANI ANDAVOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 ROUTE 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-2270
(732) 557-2271
Mailing address
19 LEGACY CT, FREEHOLD, NJ 07728-9286
(609) 651-2337
(609) 964-1982
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05450300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7227604
—
NJ
Enumeration date
07/09/2006
Last updated
03/17/2018
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