Shannon L. Vitelli in Collegeville - Pediatrics

Shannon L. Vitelli - NPI 1568404143

Shannon L. Vitelli is a Pediatrics in Collegeville, Pennsylvania. Shannon L. Vitelli practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon L. Vitelli is 1568404143. The last update date is 2021-06-30.

Shannon L. Vitelli's current location address is 17 Iron Bridge Dr, Collegeville, Pennsylvania. You can contact this provider via phone number 6104895782 and fax number 6104896418. The mailing address for Shannon L. Vitelli is 17 Iron Bridge Dr, Collegeville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon L. Vitelli
Address 17 Iron Bridge Dr, Collegeville, Pennsylvania
Phone Number 6104895782
Fax Number 6104896418
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1568404143
Provider Enumeration Date 2006-06-11
Last Updated Date 2021-06-30

Provider Mailing Address Detail

Address 17 Iron Bridge Dr
City Collegeville
State Pennsylvania (PA)
Post Code 194262042
Phone Number 6104895782
Fax Number 6104896418

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No OS011868
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30010139 PA KEYSTONE MERCY
3373024 PA AETNA HMO
36156-OS011868 PA HEALTH PARTNERS
7402478 PA AETNA PPO
1523072 PA HIGHMARK BLUE SHIELD
2209467000 PA IBC - PC/KHPE
2209467000 PA AMERICHOICE/INTERCOUNTY
11212082 PA CAQH ID#
19807030001 PA OMAP
9514702 PA CIGNA HMO/PPO

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FAQs about Shannon L. Vitelli

What is the Shannon L. Vitelli's unique identification number?

The Shannon L. Vitelli has been assigned the NPI (National Provider Identifier) Number 1568404143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Shannon L. Vitelli's facilities are geographically located?

The facilities of Shannon L. Vitelli are physically situated at the following location: 17 Iron Bridge Dr, Collegeville, PA, 194262042.

What is Shannon L. Vitelli's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shannon L. Vitelli is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

When did the Shannon L. Vitelli receive its 1568404143?

The Shannon L. Vitelli was issued its 1568404143 on 2006-06-11, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Shannon L. Vitelli most recently updated or revised?

The information pertaining to Shannon L. Vitelli, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-30.

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