Individual
MELBA VITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 342-1205
(201) 342-1259
Mailing address
PO BOX 34049, NEWARK, NJ 07189-0001
(201) 342-1205
(201) 342-1259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA03818800
NJ
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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