Dr Michelle M Vital, MD | |
1601 Haddon Ave, Camden, NJ 08103 | |
(856) 796-3500 | |
(856) 365-7972 |
Full Name | Dr Michelle M Vital |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1601 Haddon Ave, Camden, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386612380 | NPI | - | NPPES |
25MA07788900 | Other | NJ | NJ MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA07788900 (New Jersey) | Primary |
Entity Name | The Osborn Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528444254 PECOS PAC ID: 1658681184 Enrollment ID: O20151112000931 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle M Vital, MD 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Dr Michelle M Vital, MD 1601 Haddon Ave, Camden, NJ 08103 Ph: (856) 796-3500 |
Jodi Levy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz Rm 200, Camden, NJ 08103 Phone: 856-342-2001 | |
Vishwanath Bhat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: One Cooper Plaza, 7th Fl. Dorrance Cooper Pediatric Specialists, Camden, NJ 08103 Phone: 856-342-2265 Fax: 856-342-8007 | |
Zubairul Hasan Aghai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
Dr. Rhonda Schnur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz, Suite 200, Camden, NJ 08103 Phone: 856-342-2001 | |
Dr. Melinda Danowitz, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz Rm 200, Camden, NJ 08103 Phone: 856-342-2001 | |
Dr. Miriam Siddique, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-757-7904 | |
Sarra Bae, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2600 |