Mr Erich Laserna Vidal, PA-C - Physician Assistant in New Brunswick, NJ

Mr Erich Laserna Vidal, PA-C is a Physician Assistant based in New Brunswick, New Jersey. Mr Erich Laserna Vidal is licensed to practice in New Jersey (license number 25MP00080600) and his current practice location is 24 Abeel St, New Brunswick, New Jersey. He can be reached at his office (for appointments etc.) via phone at (732) 745-9800.

NPI number for Mr Erich Laserna Vidal is 1912280686 and his current mailing address is 33 Jade Ln, Phillipsburg, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912280686.

Contact Information

Mr Erich Laserna Vidal, PA-C
24 Abeel St,
New Brunswick, NJ 08901-1303
(732) 745-9800
Not Available

Map and Direction




Provider's Profile

Full NameMr Erich Laserna Vidal
GenderMale
SpecialityPhysician Assistant
Location24 Abeel St, New Brunswick, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912280686
  • Provider Enumeration Date: 09/20/2011
  • Last Update Date: 09/20/2011

Medical Identifiers

Medical identifiers for Mr Erich Laserna Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912280686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00080600 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Erich Laserna Vidal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Erich Laserna Vidal, PA-C
33 Jade Ln,
Phillipsburg, NJ 08865-7326

Ph: (908) 387-9479
Mr Erich Laserna Vidal, PA-C
24 Abeel St,
New Brunswick, NJ 08901-1303

Ph: (732) 745-9800

Reviews and Comments


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