Individual
DR. JOHN ANTHONY VITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
513 BERLIN CROSS KEYS RD, SICKLERVILLE, NJ 08081-4368
(856) 818-9710
Mailing address
513 BERLIN CROSS KEYS RD, SICKLERVILLE, NJ 08081-4368
(856) 818-9710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02811700
NJ
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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