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1295718518
PATRICK SEWELL VIDAVER
HACKENSACK, NJ
NPI
1295718518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NJ 25MA06794700)
Enumeration Date
2005-11-21
Last Update Date
2010-08-25
Business Address
-- PATRICK SEWELL VIDAVER MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
Phone number: 201-488-0066
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Mailing Address
-- PATRICK SEWELL VIDAVER MD
PO BOX 18914
NEWARK, NJ 07191-8914
Phone number: 201-488-0066
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