Individual
DR. HALYNA VITAGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, SW411, BOSTON, MA 02215-5418
(617) 632-6181
Mailing address
450 BROOKLINE AVE, SW411, BOSTON, MA 02215-5418
(617) 632-6181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54351
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041379
—
MA
Enumeration date
05/18/2006
Last updated
10/15/2012
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