RICHARD M VITALI

NEWARK, NJ
NPI1215149133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NJ  25MP00103000)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- RICHARD M VITALI PA-C
111 CENTRAL AVE FL 3
NEWARK, NJ 07102-1909
Phone number: 973-877-2825
Mailing Address
-- RICHARD M VITALI PA-C
11 21ST ST
JERICHO, NY 11753-2507
Phone number: 973-877-2825
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