Individual
JOSEPH THOMAS VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D109, WOODLAND PARK, NJ 07424-2559
(973) 785-4020
Mailing address
1031 MCBRIDE AVE, SUITE D109, WOODLAND PARK, NJ 07424-2559
(973) 785-4020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09281500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2011
Last updated
09/06/2013
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