PATRICK SEWELL VIDAVER

HACKENSACK, NJ
NPI1295718518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NJ  25MA06794700)
Enumeration Date2005-11-21
Last Update Date2010-08-25
Business Address
PATRICK SEWELL VIDAVER MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
Phone number: 201-488-0066
Mailing Address
PATRICK SEWELL VIDAVER MD
PO BOX 18914
NEWARK, NJ 07191-8914
Phone number: 201-488-0066
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