Antonella F Viterbo in Kinnelon - Physician Assistant

Antonella F Viterbo - NPI 1760698617

Antonella F Viterbo is a Physician Assistant in Kinnelon, New Jersey. Antonella F Viterbo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Antonella F Viterbo is 1760698617. The last update date is 2021-05-11.

Antonella F Viterbo's current location address is 135 Kinnelon Rd Rm 103, Kinnelon, New Jersey. You can contact this provider via phone number 9738381771 and fax number 9734922858. The mailing address for Antonella F Viterbo is 135 Kinnelon Rd Rm 103, Kinnelon, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Antonella F Viterbo
Address 135 Kinnelon Rd Rm 103, Kinnelon, New Jersey
Phone Number 9738381771
Fax Number 9734922858
Sole Proprietor N
Credentials MS,PA-C

NPI Number Detail

NPI Number 1760698617
Provider Enumeration Date 2007-05-15
Last Updated Date 2021-05-11

Provider Mailing Address Detail

Address 135 Kinnelon Rd Rm 103
City Kinnelon
State New Jersey (NJ)
Post Code 74052333
Phone Number 9738381771
Fax Number 9734922858

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 25MP00178900
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
223777917 NJ COMMERCIAL INSURANCES

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FAQs about Antonella F Viterbo

What is the Antonella F Viterbo's unique identification number?

The Antonella F Viterbo has been assigned the NPI (National Provider Identifier) Number 1760698617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Antonella F Viterbo?

The Antonella F Viterbo is physically situated at 135 Kinnelon Rd Rm 103, in the city of Kinnelon, state of NJ, with the postal code 74052333.

What is Antonella F Viterbo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Antonella F Viterbo is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760698617 to Antonella F Viterbo?

The Centers for Medicare & Medicaid Services originally issued the 1760698617 to Antonella F Viterbo on 2007-05-15.

As of what date were the details pertaining to Antonella F Viterbo last refreshed?

The information related to the Antonella F Viterbo, including its address, specialty, and other relevant details, was last updated on 2021-05-11.

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