Individual
DR. PAUL GREGORY VIDAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1930 MARLTON PIKE E, A-7, CHERRY HILL, NJ 08003-2150
(856) 424-0993
Mailing address
2906 YARMOUTH LN, MOUNT LAUREL, NJ 08054-6267
(856) 608-1740
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00894500
NJ
Other
Enumeration date
11/09/2005
Last updated
07/09/2007
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