Individual
DR. JOHN VITARELLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
1830 TOWN CENTER DR STE 405, RESTON, VA 20190-3218
(703) 481-9191
(571) 423-5082
Mailing address
1830 TOWN CENTER DR STE 405, RESTON, VA 20190-3218
(703) 481-9191
(571) 423-5082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101285772
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101285772
VA
Other
Enumeration date
06/06/2019
Last updated
09/05/2025
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