Provider Demographics
NPI:1144325796
Name:VITTERITO, JOSEPH ALBERT II (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALBERT
Last Name:VITTERITO
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:VITTERITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 BITTERSWEET TRL
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-3901
Mailing Address - Country:US
Mailing Address - Phone:401-580-1019
Mailing Address - Fax:
Practice Address - Street 1:64 ROBBINS ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2613
Practice Address - Country:US
Practice Address - Phone:203-573-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00283732080N0001X
MEMD177242080N0001X
MA2729342080N0001X
RIMD11254208000000X
NY3331432080N0001X
NH13058208000000X
CT599932080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9026713Medicaid
495468Medicare UPIN