Doctor Name: | DR. CHITRA VAIDY |
NPI Number: | 1780759050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C10004195 |
Business Practice Address: | 200 Cleaver Farm Rd Ste 201 Nemours Dupont Pediatrics, Middletown Middletown, DE - 197091630 |
Business Phone Number: | 3023785100 |
Business Fax Number: | 3023785106 |
Mailing Address: | Po Box 191, Provider Enrollment Department WILMINGTON |
State: | DE |
Postal Code: | 198990191 |
Phone Number: | 9046974201 |
Fax Number: | 3026514945 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C10004195 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |