Provider Demographics
NPI:1558575290
Name:VITTONE, BERNARD JOHN (MD)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:JOHN
Last Name:VITTONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3327 LAKESIDE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2450
Mailing Address - Country:US
Mailing Address - Phone:202-363-3900
Mailing Address - Fax:
Practice Address - Street 1:2423 PENNSYLVANIA AVE NW
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1718
Practice Address - Country:US
Practice Address - Phone:202-363-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC135242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry