Individual
VANESSA VIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-5198
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(843) 621-7358
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA12674800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289520
BOARD OF REGISTRATION IN MEDICINE
MA
Enumeration date
06/29/2021
Last updated
07/14/2025
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