Organization
LIAMOT VASCULAR IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATHIBHA POTHARLANKA M.D. (OWNER)
(609) 298-2910
Entity
Organization
Contact information
Practice address
30 BELMONT CIR, COLUMBUS, NJ 08022-9714
(609) 298-2910
(609) 450-7224
Mailing address
30 BELMONT CIR, COLUMBUS, NJ 08022-9714
(609) 298-2910
(609) 450-7224
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08401100
NJ
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
01/15/2011
Last updated
05/05/2011
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