ERICH LASERNA VIDAL

NEW BRUNSWICK, NJ
NPI1912280686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00080600)
Enumeration Date2011-09-20
Last Update Date2011-09-20
Business Address
Mr. ERICH LASERNA VIDAL PA-C
24 ABEEL ST
NEW BRUNSWICK, NJ 08901-1303
Phone number: 732-745-9800
Mailing Address
Mr. ERICH LASERNA VIDAL PA-C
33 JADE LN
PHILLIPSBURG, NJ 08865-7326
Phone number: 908-387-9479
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