Individual
ROBERT VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(856) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21860300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01430800
NJ
Other
Enumeration date
11/10/2022
Last updated
04/05/2023
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