EREZ VIDAN

WORCESTER, MA
NPI1982818373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  1015001)
Additional Taxonomies2085N0904X Radiology, Nuclear Radiology
(Licence: MA  1015001)
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY  238696)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-05-09
Last Update Date2023-06-29
Business Address
Dr. EREZ VIDAN M.D.
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-3850
Mailing Address
Dr. EREZ VIDAN M.D.
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885