Organization
VIDA SARKODIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA SARKODIE APN (ADVANCED NURSE PRACTITIONER)
(862) 596-0705
Entity
Organization
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7000
Mailing address
34 BRIGHTON AVE, BELLEVILLE, NJ 07109-1230
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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