Individual
DR. ANGELA L VITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8819 COMMONS BLVD # 200, TWINSBURG, OH 44087-2177
(330) 405-9147
(330) 405-9884
Mailing address
33475 N DEER CREEK LN, PEPPER PIKE, OH 44124-5200
(216) 533-2763
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-092276
OH
208000000X
Pediatrics Physician
57.008648
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022579640001
—
PA
05
—
2869150
—
OH
Enumeration date
05/14/2007
Last updated
02/19/2019
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