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NPI Code Detail

MEDICARE: MR. JOSEPH ANTHONY VITALE D.O.

MEDICARE: MR. JOSEPH ANTHONY VITALE D.O.
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
1208000000XPediatrics Physician510110041DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1783F23OTHERDEBC/BS DE PCP #
2K899OTHERDEBC/BS MD PCP #
30000022203OTHERDEDELAWARE PHYSICIANS CARE
40000022203OTHERDEDIAMOND STATE HEALTH (DE
50075294000OTHERDEAMERIHEALTH - HMO
644567OTHERDECOVENTRY HEALTH CARE
7000059475OTHERDEINDEPENDENCE BLUE CROSS -
80075294000OTHERDE0075294000
9059475OTHERDEAMERIHEALTH - PPO
10C48581OTHERDEMID-ATLANTIC
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
124285988OTHERDEAETNA USHC
13856327OTHERDEMAMSI PROVIDER #

General Provider Information

NPI Number : 1285694943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH ANTHONY VITALE D.O.
Provider Business Mailing Address
First Line : 4735 OGLETOWN STANTON RD
Second Line : MAP 2 SUITE 1116
City : NEWARK
State : DE
Zip : 19713-2072
Country : US
Telephone Number : 302-368-1562
Fax Number : 302-368-8836
Provider Business Practice Location Address
First Line : 4735 OGLETOWN STANTON RD
Second Line : MAP 2 SUITE 1116
City : NEWARK
State : DE
Zip : 19713-2072
Country : US
Telephone Number : 302-368-1562
Fax Number : 302-368-8836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 03/18/2013

Similar Medicare Providers

1063415651 — MS. SUSAN L CHUDZIK CRNP
Practice Location Address:
4735 OGLETOWN STANTON RD , MAPII SUITE 2123
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19713-2072
Practice Phone: 302-225-3888
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1407844673 — KRISTINE ROHRBAUGH AUD CCC-A
Practice Location Address:
4735 OGLETOWN STANTON RD , MEDICAL ARTS PAVILLION 2, SUITE 1205
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19713-2072
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Practice Fax:
1407831894 — CHRISTIANA CARE HEALTH SERVICES, INC
Practice Location Address:
4735 OGLETOWN STANTON RD , MEDICAL ARTS PAVILION 2, SUITE 3301
NEWARK, DE
19713-2072
Practice Phone: 302-623-4370
Practice Fax: 302-623-4375
1346225075 — GERARD FULDA MD
Practice Location Address:
4735 OGLETOWN STANTON RD , MEDICAL ARTS PAVILION 2, SUITE 3301
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Practice Phone: 302-623-4370
Practice Fax: 302-623-4375
1245215979 — FREDERICK A GIBERSON MD
Practice Location Address:
4735 OGLETOWN STANTON RD , MEDICAL ARTS PAVILION 2, SUITE 3301
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19713-2072
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1528045093 — MOSES HOCHMAN MD
Practice Location Address:
4735 OGLETOWN STANTON RD , MEDICAL ARTS PAVILLION II, SUITE 1204
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1487631941 — WILLIAM HOHMAN MD
Practice Location Address:
4735 OGLETOWN STANTON RD , MEDICAL ARTS PAVILLION II, SUITE 1204
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Practice Fax: 302-623-3841

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