Individual
JOSEPH VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
519 YORKTOWN RD, UNION, NJ 07083-7813
(908) 686-4412
Mailing address
519 YORKTOWN RD, UNION, NJ 07083-7813
(908) 686-4412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28R101420700
NJ
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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