Provider Demographics
NPI:1457560864
Name:STEINBERG, VITALY G (MD)
Entity Type:Individual
Prefix:
First Name:VITALY
Middle Name:G
Last Name:STEINBERG
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 1:6770 HARDING HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4293 ROUTE 47
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:NJ
Practice Address - Zip Code:08327-2010
Practice Address - Country:US
Practice Address - Phone:856-785-0040
Practice Address - Fax:856-785-1586
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0666952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry