Individual
DR. ROBERT M VIDAVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 CLINTON ST, CONCORD, NH 03301-2359
(603) 271-5202
(603) 271-5395
Mailing address
33 HIGHLAND DR, HENNIKER, NH 03242-3179
(603) 428-3670
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101033828
VA
2084P0800X
Psychiatry Physician
25MA02796300
NJ
2084P0800X
Psychiatry Physician
Primary
7957
NH
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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