Individual
DR. HEIDI R VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 TATUM ST, WOODBURY, NJ 08096-3499
(856) 845-8050
(856) 845-0688
Mailing address
404 TATUM ST, WOODBURY, NJ 08096-3499
(856) 845-8050
(856) 845-0688
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07861200
NJ
Other
Enumeration date
01/02/2007
Last updated
11/14/2017
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