DANIELLE VITIELLO
Physician/surgeon


Address: 3 Zambom Ter, Andover, MA 01810-6400

DANIELLE VITIELLO (Credential# 560758) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

DANIELLE VITIELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043176. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 3 Zambom Ter, Andover, MA 01810-6400. The current status is active.

Basic Information

Licensee Name DANIELLE VITIELLO
Credential ID 560758
Credential Number 1.043176
Credential Type Physician/Surgeon
Business Address 3 Zambom Ter
Andover
MA 01810-6400
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-03-08
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-09-23

Other licenses

ID Credential Code Credential Type Issue Term Status
380623 CSP.0036038 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-10-08 2009-03-17 - 2011-02-28 INACTIVE

Office Location

Street Address 3 ZAMBOM TER
City ANDOVER
State MA
Zip Code 01810-6400

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James A Sobieraj 1 Chapman Avenue, Andover, MA 01810 Professional Engineer 2019-02-01 ~ 2020-01-31
Laurie A Murphy 1 Barbara Lane, Andover, MA 01810 Professional Engineer 2014-02-01 ~ 2015-01-31
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Competitor

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City ANDOVER
Zip Code 01810
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ANDOVER

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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