MEDICARE: CMAP INTERPRETIVE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1184914186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMAP INTERPRETIVE SERVICES, INC

Provider Business Mailing Address
First Line	:	2300 IRON POINT RD
Second Line	:	#1313
City	:	FOLSOM
State	:	CA
Zip	:	95630-8489
Country	:	US
Telephone Number	:	866-930-2627
Fax Number	:	866-980-2627

Provider Business Practice Location Address
First Line	:	2300 IRON POINT RD
Second Line	:	#1313
City	:	FOLSOM
State	:	CA
Zip	:	95630-8489
Country	:	US
Telephone Number	:	866-930-2627
Fax Number	:	866-980-2627

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARCO N VITIELLO
Credential	:	M.D. FACFE, FACFM
Telephone Number	:	866-930-2627

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	04/11/2011

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