Provider Demographics
NPI:1215176540
Name:VERNATTER, JOSHUA NATHANIEL (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NATHANIEL
Last Name:VERNATTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:163 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:WESTTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10998-2824
Mailing Address - Country:US
Mailing Address - Phone:845-645-5287
Mailing Address - Fax:731-201-5499
Practice Address - Street 1:18 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5005
Practice Address - Country:US
Practice Address - Phone:845-645-5287
Practice Address - Fax:731-201-5499
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY258537207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease