Healthcare Provider Details

I. General information

NPI: 1528399441
Provider Name (Legal Business Name): HOSPITALISTS NATIONWIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 BELMONT CIRCLE
COLUMBUS NJ
08022-9714
US

IV. Provider business mailing address

30 BELMONT CIRCLE
COLUMBUS NJ
08022-9714
US

V. Phone/Fax

Practice location:
  • Phone: 609-310-5834
  • Fax: 609-838-7935
Mailing address:
  • Phone: 609-310-5834
  • Fax: 609-838-7935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PRATHIBHA POTHARLANKA
Title or Position: OFFICER
Credential: M.D.
Phone: 609-310-5834