Provider Demographics
NPI:1124272687
Name:VERNICK, HARRIS S (MD)
Entity type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:S
Last Name:VERNICK
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 1:255 MUNSEE WAY
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3809
Mailing Address - Country:US
Mailing Address - Phone:908-654-5498
Mailing Address - Fax:908-654-0585
Practice Address - Street 1:255 MUNSEE WAY
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090
Practice Address - Country:US
Practice Address - Phone:908-654-5498
Practice Address - Fax:908-654-0585
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02801900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine