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1730189556
GLENN CHARLES VITALE
WEST HAVEN, CT
NPI
1730189556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CT P00345)
Enumeration Date
2005-07-22
Last Update Date
2009-11-20
Business Address
Dr. GLENN CHARLES VITALE D.P.M.
385 MAIN ST SUITE 10
WEST HAVEN, CT 06516-4312
Phone number: 203-933-8606
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Mailing Address
Dr. GLENN CHARLES VITALE D.P.M.
90A BEACH AVE
MILFORD, CT 06460-8060
Phone number: 203-877-3160
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