Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 13058 | NH |
N | 208000000X | Pediatrician | MD11254 | RI |
N | 2080N0001X | Neonatal-Perinatal Doctor | 272934 | MA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 59993 | CT |
N | 2080N0001X | Neonatal-Perinatal Doctor | MD17724 | ME |
NPI | 1144325796 |
---|---|
Provider Name | Mr. Joseph Albert Vitterito II |
First Address | Woodstock, CT 06281-2714 |
Second Address | Portland, ME 04102-3134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 21/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
495468 | (02) | |
9026713 | (05) | RI |