Individual provider · Type 1 NPI

Richard M. Vitali, PA-C

Surgical Physician Assistant · Newark, NJ

NPI number 1215149133 Active

Practice location

111 Central Ave Fl 3
Newark, NJ 07102-1909

Call (973) 877-2825 Map

Fax (973) 877-5317

Mailing address

11 21st St
Jericho, NY 11753-2507

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00103000 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1215149133

Richard M. Vitali, PA-C's National Provider Identifier is 1215149133, issued on May 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newark, NJ. The record was last updated on Jul 8, 2007.