Individual
DR. SAMUEL J VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
15 FRANCIS ST, BOSTON, MA 02115
(610) 213-5273
(610) 273-5684
Mailing address
45 FRANCIS ST, BOSTON, MA 02115-6105
(617) 732-8881
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
275850
MA
207RI0200X
Infectious Disease Physician
Primary
284167
MA
Other
Enumeration date
04/03/2016
Last updated
07/27/2021
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