Individual
MR. BIENVENIDO A VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
53 W JAMES PL, ISELIN, NJ 08830-1106
(732) 205-0566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0448231
NY
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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