ALEXANDRIA VITTITOW MD - NPI 1710569298 - Student in an Organized Health Care Education/Training Program in Livingston, NJ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Alexandria Vittitow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRIA VITTITOW MD (NPI 1710569298) is an individual student in an organized health care education/training program in Livingston, New Jersey and active in the NPI registry since April 2021. She maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1710569298

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRIA VITTITOWCredential: MD

Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672

Mailing Address3649 Warner AveLouisville, KY 40207-3729 · (502) 262-6173

Phone(502) 262-6173

Sole ProprietorNo

Enumeration DateApril 24, 2021

Last NPPES UpdateMay 2, 20232 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1710569298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

94 OLD SHORT HILLS RD, Livingston, NJ 07039

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