Healthcare Provider Details
I. General information
NPI: 1184914186
Provider Name (Legal Business Name): CMAP INTERPRETIVE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2011
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 IRON POINT RD #1313
FOLSOM CA
95630-8489
US
IV. Provider business mailing address
2300 IRON POINT RD #1313
FOLSOM CA
95630-8489
US
V. Phone/Fax
- Phone: 866-930-2627
- Fax: 866-980-2627
- Phone: 866-930-2627
- Fax: 866-980-2627
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARCO
N
VITIELLO
Title or Position: PRESIDENT
Credential: M.D. FACFE, FACFM
Phone: 866-930-2627