| 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 | 
|---|---|
| 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 | |
| Sarra Bae, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2600 | |
| Cara Anne Grudziak, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 800-826-6737 |