# VIDA SARKODIE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952790651
- **Authorized official:** VIDA SARKODIE APN (ADVANCED NURSE PRACTITIONER)
- **Authorized official phone:** (862) 596-0705

## Contact information

- **Practice address:** 655 E JERSEY ST, ELIZABETH, NJ 07206-1259
- **Practice address phone:** (908) 994-7000
- **Mailing address:** 34 BRIGHTON AVE, BELLEVILLE, NJ 07109-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2015
- **Last updated:** 01/18/2015