Organization
VITALE WOMEN'S HEALTH OBSTETRICS AND GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA RODRIGUES VITALE M.D. (PRESIDENT)
(516) 680-6647
Entity
Organization
Contact information
Practice address
502 VALLEY RD, SUITE 106, WAYNE, NJ 07470-3509
(973) 696-3567
(973) 696-1921
Mailing address
502 VALLEY RD, SUITE 106, WAYNE, NJ 07470-3509
(973) 696-3567
(973) 696-1921
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA09281600
NJ
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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