Healthcare Provider Details

I. General information

NPI: 1396739512
Provider Name (Legal Business Name): RAZVAN THEODOR VAIDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

781 FAR HILLS DR STE 600
NEW FREEDOM PA
17349-9346
US

IV. Provider business mailing address

601 MEMORY LN N/A
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-2560
  • Fax: 717-812-2569
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD417666
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: