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1831195601
JAY ANDREW VIDA
BRICK, NJ
NPI
1831195601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ MB59096)
Enumeration Date
2005-06-24
Last Update Date
2018-06-18
Business Address
JAY ANDREW VIDA DO
2125 RT 88 EAST
BRICK, NJ 08724-3152
Phone number: 732-892-4548
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Mailing Address
JAY ANDREW VIDA DO
27 S COOKS BRIDGE RD
JACKSON, NJ 08527-2524
Phone number: 732-942-4455
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