Individual
MR. WILLIAM MICHAEL VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12 UXBRIDGE RD, MENDON, MA 01756-1094
(508) 634-6620
(508) 634-6813
Mailing address
9 INDUSTRIAL RD, SUIT3 5, MILFORD, MA 01757-3735
(508) 473-1480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN230502
MA
363LA2200X
Adult Health Nurse Practitioner
NNP37557
RI
363LF0000X
Family Nurse Practitioner
RN230502
MA
Other
Enumeration date
07/16/2010
Last updated
03/13/2019
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