Mr. Erich L. Vidal PA-C
Physician Assistant in New Brunswick, NJ(View on Map)
Full Name
Mr. Erich Laserna Vidal PA-C
NPI Number
1912280686
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/20/2011
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
25MP00080600
Contact
Information
Purpose
Mailing
Location
Address
33 JADE LN
24 ABEEL ST
City
Phillipsburg
New Brunswick
State
NJ
NJ
Postal Code
08865-7326
08901-1303
Country
US
US
Telephone Number
(908) 387-9479
(732) 745-9800
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/20/2011