Individual
DR. LAURA CHRISTINA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
955 MAIN ST, STE 103, WINCHESTER, MA 01890-1961
(617) 359-5052
(781) 729-0692
Mailing address
955 MAIN ST, STE 103, WINCHESTER, MA 01890-1961
(617) 359-5052
(781) 729-0692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125-055047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-055047
125-055047
IL
Enumeration date
08/01/2008
Last updated
01/20/2016
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