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Individual

DR. NICHOLAS ANTHONY VIDETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
127 UNION STREET, SUITE 109, RIDGEWOOD, NJ 07450
(201) 444-1255
(201) 251-9551
Mailing address
127 UNION STREET, SUITE 109, RIDGEWOOD, NJ 07450
(201) 444-1255
(201) 251-9551

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA048736
NJ

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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