Individual
DR. MARK ANTHONY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Mailing address
6 GREENWICH OFFICE PARK, GREENWICH, CT 06831-5151
(203) 869-1145
(203) 618-1721
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
245902
NY
207XS0106X
Orthopaedic Hand Surgery Physician
245902
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
50843
CT
Other
Enumeration date
05/21/2008
Last updated
01/14/2020
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