Individual
DR. JOSEPH VITHAYATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF CHILD NEUROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1722
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF CHILD NEUROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT213845
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MT213845
PA
Other
Enumeration date
06/05/2017
Last updated
06/26/2019
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