Individual
LIDIA L VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 523-1800
Mailing address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 523-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ15067900
NJ
363LF0000X
Family Nurse Practitioner
Primary
F03240452
NJ
Other
Enumeration date
03/25/2024
Last updated
07/31/2025
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