Individual
THOMAS DAVID VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
160 HAMILTON AVE, HASBROUCK HEIGHTS, NJ 07604-1208
(201) 288-2242
(201) 288-7372
Mailing address
160 HAMILTON AVE, HASBROUCK HEIGHTS, NJ 07604-1208
(201) 288-2242
(201) 288-7372
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00175100
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
5901400130
MI
213ES0131X
Foot Surgery Podiatrist
003991
NY
Other
Enumeration date
10/04/2006
Last updated
10/31/2019
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