Individual
DR. KEVIN EDWIN VITTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
342 HAMBURG TPKE, STE 201, WAYNE, NJ 07470-2162
(973) 389-1119
(973) 389-1145
Mailing address
342 HAMBURG TPKE, SUITE 201, WAYNE, NJ 07470-2162
(973) 389-1119
(973) 389-1145
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA04968200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0568708
—
NJ
Enumeration date
06/28/2005
Last updated
03/27/2015
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