Individual
SALVATORE G VITALE
Active
Individual
SALVATORE G VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01088771A
IN
207L00000X
Anesthesiology Physician
174575-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430G39
MEDICARE PTAN
IN
05
—
300069449
—
IN
01
—
M122404072
MEDICARE PTAN
IN
Enumeration date
06/15/2005
Last updated
09/28/2023
Update your record
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