Provider Demographics
NPI:1851565824
Name:RIDER, JAIME C JR (DVM)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:C
Last Name:RIDER
Suffix:JR
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 CHURCHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-1337
Mailing Address - Country:US
Mailing Address - Phone:856-678-2070
Mailing Address - Fax:856-678-9449
Practice Address - Street 1:187 CHURCHTOWN RD
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-1337
Practice Address - Country:US
Practice Address - Phone:856-678-2070
Practice Address - Fax:856-678-9449
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100187700174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian