New York
Office of the Professions
VIDA VIDA T
Medicine (Physician, Including M Ds & D Os)
License number
116014
Date granted
04/26/1973
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
WAYNE NJ
nymedicine.org
ID 30294027
LAST UPDATED 2024-04-15 19:14:15 UTC
LAST UPDATED 2024-04-15 19:14:15 UTC
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