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Contact Information

MAMATHA R GADARLA, MD
526 BLOOMFIELD AVE STE 103
CALDWELL, NJ07006-5525
 Phone: 973-239-1600
 Fax: 973-559-6188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAMATHA R GADARLA · (Female)

NPI Number 1124167879
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2007
Last updated 06/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08121700
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
  • ST JOSEPH'S REGIONAL MEDICAL CENTER - (Acute Care)
    703 MAIN ST
    PATERSON, NJ 07503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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