Individual
DR. VAKULA DEVI ATTHOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1450 E CHESTNUT AVE, BLDG 3 SUITE A, VINELAND, NJ 08361-8467
(856) 794-8700
(856) 794-2752
Mailing address
1450 E CHESTNUT AVE, BLDG 3 SUITE A, VINELAND, NJ 08361-8467
(856) 794-8700
(856) 794-2752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08958800
NJ
207RI0200X
Infectious Disease Physician
Primary
25MA08958800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279862
—
NJ
Enumeration date
02/10/2008
Last updated
05/31/2019
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