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Individual

ANGELA VIDAL-BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 HOLLYWOOD AVE, HILLSIDE, NJ 07205-2409
(908) 353-7949
Mailing address
100 HOLLYWOOD AVE, HILLSIDE, NJ 07205-2409
(908) 353-7949

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
246056
NY
207Q00000X
Family Medicine Physician
Primary
25MA09156600
NJ

Other

Enumeration date
06/30/2008
Last updated
01/10/2014
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