Individual
JOHN S VITELLI
Active
Individual
JOHN S VITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08534
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-03704
UNITED HEALTHCARE
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RI
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
119023709
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
20333-3
BLUE CROSS
RI
01
—
22860-8
BCBS - MIRIAM
RI
01
—
408074
BLUE CHIP
RI
05
—
7008653
—
RI
01
—
P00434711
MEDICARE RAILRAOD
RI
Enumeration date
01/09/2006
Last updated
08/30/2024
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