Individual
ANIKA VAIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3322 N BROAD ST, PHILADELPHIA, PA 19140-5185
(215) 707-1800
(215) 707-3644
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD467263
PA
Other
Enumeration date
06/14/2016
Last updated
09/23/2019
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