Provider Demographics
NPI:1598178162
Name:BRANTON, NATALIE R (DO)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:R
Last Name:BRANTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:R
Other - Last Name:CONGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51 VERONICA AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3448
Mailing Address - Country:US
Mailing Address - Phone:732-846-7000
Mailing Address - Fax:732-846-7001
Practice Address - Street 1:51 VERONICA AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3448
Practice Address - Country:US
Practice Address - Phone:732-846-7000
Practice Address - Fax:732-846-7001
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11064600207Q00000X
PAO5018463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine