Individual
DR. HIEDI VIZZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 THIRD ST, BORDENTOWN, NJ 08505-1321
(609) 298-2005
(609) 324-8267
Mailing address
PO BOX 8500-2946, PHILADELPHIA, PA 19178-0001
(609) 815-7810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07504300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009211
—
NJ
05
—
7461402
—
NJ
Enumeration date
02/14/2006
Last updated
07/08/2009
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