Individual
VITALIANO SICILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7500
Mailing address
199 UNION AVE APT 1G, RUTHERFORD, NJ 07070-3504
(646) 755-0994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0011767
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257490100
—
MN
Enumeration date
08/05/2007
Last updated
09/16/2021
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