Provider Demographics
NPI:1306062138
Name:VITTI, JENNIFER (PA-C)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:VITTI
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:541 MAIN ST. SUITE 314
Mailing Address - Street 2:HARBOR MEDICAL ASSOCIATES
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190
Mailing Address - Country:US
Mailing Address - Phone:707-952-1460
Mailing Address - Fax:787-952-1465
Practice Address - Street 1:541 MAIN ST. SUITE 314
Practice Address - Street 2:HARBOR MEDICAL ASSOCIATES
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190
Practice Address - Country:US
Practice Address - Phone:707-952-1460
Practice Address - Fax:787-952-1465
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2308363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant