Individual
JOHN FRANK VITULLO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1171 FAIRWAY BLVD, COLUMBUS, OH 43213-2522
(614) 861-7051
(614) 861-0614
Mailing address
1171 FAIRWAY BLVD, COLUMBUS, OH 43213-2522
(614) 861-7051
(614) 861-0614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35092579
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075005
—
OH
Enumeration date
04/30/2008
Last updated
07/23/2019
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