person
Richard M Vitali, PA-C
Surgical Physician Assistant in Newark, New Jersey
NPI 1215149133

Richard M Vitali is a Surgical Physician Assistant based in Jericho, NJ and is specialized in Surgical. Richard M Vitali practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Richard M Vitali is 1215149133 and holds a License No. 25MP00103000 (New Jersey).

The current practice location address for Richard M Vitali is 111 Central Ave Fl 3, Newark, NJ and can be reached out via phone at 973-877-2825 and via fax at 973-877-5317. You can also correspond with Richard M Vitali through the mailing address at 11 21ST ST, JERICHO, NY - 11753-2507 (mailing address contact number: 973-877-2825).

Location: 111 Central Ave Fl 3, Newark, NJ, 11753-2507
person
Provider Profile Details
NPI Number
1215149133
Provider Name
Richard M Vitali
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
111 Central Ave Fl 3, Newark, NJ, 11753-2507
Phone Number
973-877-2825
Fax Number
973-877-5317
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave Fl 3
City
State
Zip
07102-1909
Phone Number
973-877-2825
Fax Number
973-877-5317
person
Provider Business Mailing Address Details
Address
11 21St St
City
State
Zip
11753-2507
Phone Number
973-877-2825
Fax Number
973-877-5317
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
25MP00103000 (New Jersey)
Definition
Definition to come...
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