Provider Demographics
NPI:1215331236
Name:RICHARD A VITTI, MD
Entity type:Organization
Organization Name:RICHARD A VITTI, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE PROFESSIONAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:VITTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-860-4229
Mailing Address - Street 1:124 S ELM AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2150
Mailing Address - Country:US
Mailing Address - Phone:215-860-4229
Mailing Address - Fax:
Practice Address - Street 1:124 S ELM AVE
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2150
Practice Address - Country:US
Practice Address - Phone:215-860-4229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025712E207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC31267Medicare UPIN