Individual
DR. JEROME RICHARD VIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
795 NAUTILUS TRAIL, AURORA, OH 44202-8901
(216) 233-1940
(330) 562-5890
Mailing address
795 NAUTILUS TRAIL, AURORA, OH 44202-8901
(216) 233-1940
(330) 562-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34002393
OH
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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