Individual
VIDAD MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 350-9436
Mailing address
547 CHESTNUT AVE, TRENTON, NJ 08611-1233
(609) 556-7214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/18/2023
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