Jennifer L Vidal, DO
Pediatrics in Harrison, New Jersey
1649565201- Practice location
- 332 Harrison Ave, Harrison, NJ 07029-1775
- Phone
- 973-484-4584
- Fax
- —
- Last updated
- June 16, 2011
Jennifer Lyn Vidal is a Pediatrics based in Harrison, NJ. Jennifer Lyn Vidal practices in Harrison, NJ and has the professional credentials of DO. The NPI Number for Jennifer Lyn Vidal is 1649565201 and holds a License No. 25MB08925500 (NJ). The current practice location address for Jennifer Lyn Vidal is 332 Harrison Ave, Harrison, NJ 07029-1775 and can be reached out via phone at 973-484-4584.
Provider Profile Details
- NPI Number
- 1649565201
- Provider Name
- Jennifer Lyn Vidal
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 332 Harrison Ave, Harrison, NJ 07029-1775
- Phone Number
- 973-484-4584
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2011
- Last Update Date
- June 16, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 332 Harrison Ave
Harrison, NJ 07029-1775 - City
- Harrison
- State
- New Jersey
- Zip
- 07029-1775
- Phone Number
- 973-484-4584
Provider Business Mailing Address Details
- Address
- 130 N 16TH St
Bloomfield, NJ 07003-5828 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-5828
- Phone Number
- 973-429-9112
License Information
- License Number
- 25MB08925500
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Harrison, NJ
View all Pediatrics providers in Harrison →Frequently Asked Questions
What is the NPI number of Jennifer L Vidal, DO?
The NPI number of Jennifer L Vidal, DO is 1649565201. It was assigned on June 12, 2011 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Vidal, DO?
Jennifer L Vidal, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MB08925500.
Where does Jennifer L Vidal, DO practice?
The practice location is 332 Harrison Ave, Harrison, NJ 07029-1775. The office can be reached at 973-484-4584 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649565201 directly on the NPPES registry website.