Doctor Name: | JENNIFER LYN VIDAL |
NPI Number: | 1649565201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 25MB08925500 |
Business Practice Address: | 332 Harrison Ave Harrison, NJ - 070291775 |
Business Phone Number: | 9734844584 |
Business Fax Number: | |
Mailing Address: | 130 N 16th St, BLOOMFIELD |
State: | NJ |
Postal Code: | 070035828 |
Phone Number: | 9734299112 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2011 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 25MB08925500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |