Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYN VIDAL, D.O.
ActiveJENNIFER LYN VIDAL, D.O. is a Pediatrics healthcare provider located in HARRISON, New Jersey. NPI 1649565201 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · HARRISON, NJ
Registration Details
- NPI Number
- 1649565201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2011 (15.129146090196 yrs)
- Last Updated
- Jun 16, 2011
- License
-
25MB08925500 (NJ)
Practice Information
- Address
-
332 HARRISON AVEHARRISON, NJ, 070291775Browse NJ providers · Browse ZIP 07029
- Phone
- 9734844584
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in HARRISON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. PONCIANO P PALMIERY | M.D. | 1114005329 |
| DR. ROGER ALBERTO RIVERA | M.D. | 1992940373 |
| DR. SEETHA MANEYAPANDA RIVERA | M.D. | 1275819732 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.