Individual
DR. CHITRA VAIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CLEAVER FARM RD STE 201, NEMOURS DUPONT PEDIATRICS, MIDDLETOWN, MIDDLETOWN, DE 19709-1630
(302) 378-5100
(302) 378-5106
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, WILMINGTON, DE 19899-0191
(904) 697-4201
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10004195
DE
208D00000X
General Practice Physician
C10004195
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480363
—
NJ
Enumeration date
11/22/2006
Last updated
10/29/2015
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