Male or Other

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)

Code

363A00000X

Primary Taxonomy

Yes

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

Provider Address

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