Individual
JOSEPH GLEN VITOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 HILLSBOROUGH DR, MONROE, NJ 08831-4746
(732) 583-8554
(732) 583-8554
Mailing address
27 HILLSBOROUGH DR, MONROE, NJ 08831-4746
(732) 583-8554
(732) 583-8554
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
25MA04520900
NJ
2084P0800X
Psychiatry Physician
25MA04520900
NJ
208D00000X
General Practice Physician
25MA04520900
NJ
Other
Enumeration date
04/18/2008
Last updated
03/08/2016
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