Individual
JARED STEVEN VIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
115 S. AUSTIN AVENUE, VENTNOR CITY, NJ 08406-3012
(609) 823-1989
Mailing address
115 S. AUSTIN AVENUE, VENTNOR CITY, NJ 08406-3012
(609) 823-1989
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS-003830-L
PA
Other
Enumeration date
02/28/2006
Last updated
06/17/2011
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