Organization
VITALITY NP GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTIE TRESS (ADMIN)
(732) 486-7373
Entity
Organization
Contact information
Practice address
6617 PEBBLE BROOKE RD, BALTIMORE, MD 21209-3793
(732) 486-7373
Mailing address
685 RIVER AVE UNIT 3, LAKEWOOD, NJ 08701-5288
(732) 486-7373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
02/17/2022
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