Individual
DR. MICHEL JUAN RONDON VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BORTHWICK AVE, STE 111, PORTSMOUTH, NH 03801-4174
(603) 294-4424
(603) 319-1603
Mailing address
330 BORTHWICK AVE, STE 111, PORTSMOUTH, NH 03801-4174
(603) 294-4424
(603) 319-1603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
268558-1
NY
2084P0800X
Psychiatry Physician
C56143
CA
2084P0800X
Psychiatry Physician
MD449053
PA
2084P0805X
Geriatric Psychiatry Physician
Primary
14095
NH
2084P0805X
Geriatric Psychiatry Physician
C56143
CA
2084P0805X
Geriatric Psychiatry Physician
MD18951
ME
2084P0805X
Geriatric Psychiatry Physician
ME 110923
FL
Other
Enumeration date
08/01/2008
Last updated
02/09/2022
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