Doctor Name: | DR. JAIME C RIDER |
NPI Number: | 1851565824 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 29V100187700 |
Business Practice Address: | 187 Churchtown Rd Pennsville, NJ - 080701337 |
Business Phone Number: | 8566782070 |
Business Fax Number: | 8566789449 |
Mailing Address: | 187 Churchtown Rd, PENNSVILLE |
State: | NJ |
Postal Code: | 080701337 |
Phone Number: | 8566782070 |
Fax Number: | 8566789449 |
NPI Enumeration Date: | 04/21/2008 |
NPI Last Update Date: | 04/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 29V100187700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |