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Contact Information

MICHEL J RONDON VIDAL, MD
330 BORTHWICK AVE
STE 111
PORTSMOUTH, NH03801-4174
 Phone: 603-294-4424
 Fax: 603-319-1603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MICHEL J RONDON VIDAL · (Male)

NPI Number 1447416128
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2008
Last updated 02/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C56143
  • FL License # ME 110923
  • ME License # MD18951
  • NH License # 14095
  • NY License # 268558-1
  • PA License # MD449053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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