Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. JEFFREY JOSEPH VIDETTO
Active
Individual
MR. JEFFREY JOSEPH VIDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000818
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2775
BCBS OF VT
VT
01
—
43169
MOHAWK VALLEY PLAN
VT
Enumeration date
11/18/2005
Last updated
10/24/2011
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