Organization
SALVATORE F. VITALE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE F VITALE M.D. (PRESIDENT)
(732) 245-9223
Entity
Organization
Contact information
Practice address
2038 NEW BEDFORD RD, SPRING LAKE, NJ 07762-2507
(732) 245-9223
Mailing address
1541 HWY 88 W., STE. I, BRICK, NJ 08724-3422
(732) 458-3422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA02202800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA02202800
NJ MEDICAL LICENSE
NJ
Enumeration date
10/19/2016
Last updated
10/19/2016
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