| Dr Michel Juan Rondon Vidal, MD | |
|
330 Borthwick Ave, Ste 111, Portsmouth, NH 03801-4174 | |
| (603) 294-4424 | |
| (603) 319-1603 |
| Full Name | Dr Michel Juan Rondon Vidal |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 330 Borthwick Ave, Portsmouth, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447416128 | NPI | - | NPPES |
| Entity Name | State Of Maine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699776146 PECOS PAC ID: 7517875131 Enrollment ID: O20040610001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michel Juan Rondon Vidal, MD 330 Borthwick Ave, Ste 111, Portsmouth, NH 03801-4174 Ph: (603) 294-4424 | Dr Michel Juan Rondon Vidal, MD 330 Borthwick Ave, Ste 111, Portsmouth, NH 03801-4174 Ph: (603) 294-4424 |
Dr. David Jacob Schopick, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 118 Maplewood Ave, B6, Portsmouth, NH 03801 Phone: 603-431-5411 Fax: 603-430-9085 | |
Dr. Paul Anthony Fallon, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 | |
Dr. Bani Badwal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 212-203-0975 | |
Benjamin Wagner, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 333 Borthwick Ave, Portsmouth, NH 03801 Phone: 603-570-3118 | |
Dr. Malcolm Stephen Beaudett, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 278 Lafayette Road, Building E, Portsmouth, NH 03801 Phone: 603-436-6887 Fax: 603-436-5530 | |
Dr. Ilene Beth Spitzer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 230 Lafayette Rd, Bdlg. C, Portsmouth, NH 03801 Phone: 603-431-0222 | |
Dr. Rekha Chinnakotla Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801 Phone: 603-431-6703 Fax: 603-430-3753 |