Individual
DR. DIANA RODRIGUES VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 VALLEY RD, SUITE 106, WAYNE, NJ 07470-3509
(973) 696-3567
(973) 696-1921
Mailing address
502 VALLEY RD, SUITE 106, WAYNE, NJ 07470-3509
(973) 696-3567
(973) 696-1921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA09281600
NJ
Other
Enumeration date
08/10/2010
Last updated
07/10/2013
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