Individual
MARIA ANDREA VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 HIGH ST, GREENFIELD, MA 01301-2613
(413) 773-2595
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
209290
MA
2084P0800X
Psychiatry Physician
Primary
209290
MA
Other
Enumeration date
03/27/2006
Last updated
05/20/2011
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