Individual
ANTHONY JAMES VIDECKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(630) 675-1070
Mailing address
3661 WINFIELD LN NW, WASHINGTON, DC 20007-2350
(630) 675-1070
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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