Healthcare Provider Details

I. General information

NPI: 1144325796
Provider Name (Legal Business Name): JOSEPH ALBERT VITTERITO II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSEPH VITTERITO

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 ROBBINS ST
WATERBURY CT
06708-2613
US

IV. Provider business mailing address

2 BITTERSWEET TRL
WILTON CT
06897-3901
US

V. Phone/Fax

Practice location:
  • Phone: 203-573-6000
  • Fax:
Mailing address:
  • Phone: 401-580-1019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberC1-0028373
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD17724
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number272934
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD11254
License Number StateRI
# 5
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number333143
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13058
License Number StateNH
# 7
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number59993
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: