Individual
LAUREN A VITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PA-C
Contact information
Practice address
128 COLUMBIA TPKE, SUITE 200, FLORHAM PARK, NJ 07932-2283
(973) 736-9535
(973) 736-2607
Mailing address
128 COLUMBIA TPKE, SUITE 200, FLORHAM PARK, NJ 07932-2283
(973) 736-9535
(973) 736-2607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00125000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223777703
COMMERCIAL INSURANCES
NJ
Enumeration date
04/18/2006
Last updated
12/05/2012
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