Vitale, Laura Christina

Vitale, Laura Christina is an individual health care provider with primary practice located at 955 Main St Ste 103, Winchester MA 01890-1961. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vitale, Laura Christina can be contacted via phone (617) 359-5052.

Contact Information

Primary practice address
955 Main St Ste 103 Winchester MA 01890-1961
Phone: (617) 359-5052
Fax: (781) 729-0692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125-055047 Illinois

Profile Details

NPI number 1073779732
LBN Legal business name Vitale, Laura Christina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Jan 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073779732 NPPES
Illinois Other 125-055047 125-055047

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