Organization
PREGMUNE MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MD VIDALI MD (PRESIDENT/OWNER)
(516) 584-8710
Entity
Organization
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(516) 584-8710
(516) 584-8711
Mailing address
344 GROVE STREET, PMB 60570, JERSEY CITY, NJ 07302
(516) 584-8710
(516) 584-8711
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/27/2021
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