Individual
ANITHA POTHULA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 DAVENPORT AVE, NEW HAVEN, CT 06519-1319
(203) 789-1650
Mailing address
69 S BROADWAY, YONKERS, NY 10701-4004
(914) 376-5555
(914) 964-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040568
CT
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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