Individual
MARY ELENA VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D109, WOODLAND PARK, NJ 07424-2559
(973) 785-4020
(973) 785-3186
Mailing address
1031 MCBRIDE AVE, SUITE D109, WOODLAND PARK, NJ 07424-2559
(973) 785-4020
(973) 785-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00444100
NJ
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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