Individual
MR. JOSEPH ANTHONY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4735 OGLETOWN STANTON RD, MAP 2 SUITE 1116, NEWARK, DE 19713-2072
(302) 368-1562
(302) 368-8836
Mailing address
4735 OGLETOWN STANTON RD, MAP 2 SUITE 1116, NEWARK, DE 19713-2072
(302) 368-1562
(302) 368-8836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
510110041
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022203
DELAWARE PHYSICIANS CARE
DE
05
—
0000022203
—
DE
01
—
000059475
INDEPENDENCE BLUE CROSS -
DE
01
—
0075294000
AMERIHEALTH - HMO
DE
01
—
059475
AMERIHEALTH - PPO
DE
01
—
4285988
AETNA USHC
DE
01
—
44567
COVENTRY HEALTH CARE
DE
01
—
783F23
BC/BS DE PCP #
DE
01
—
856327
MAMSI PROVIDER #
DE
01
—
C48581
MID-ATLANTIC
DE
01
—
K899
BC/BS MD PCP #
DE
Enumeration date
03/27/2006
Last updated
03/18/2013
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