NPI 1013171917
Vidal Annan
Practice location
- Address
- 183 South Orange Ave, Newark, NJ 07103
- Phone
- (800) 969-5300
- Mailing address
- 671 Hoes Ln W, Piscataway, NJ 08854-8021
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1013171917
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jul 2008
- Record last updated
- 10 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.