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NPI Code Detail

MEDICARE: JOSHUA WHITE MD

MEDICARE: JOSHUA WHITE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician46640MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
146640OTHERMNMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588623664
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA WHITE MD
Provider Business Mailing Address
First Line : GIFFORD MEDICAL CENTER
Second Line : 44 SOUTH MAIN ST.
City : RANDOLPH
State : VT
Zip : 05060-1381
Country : US
Telephone Number : 802-728-7000
Fax Number :
Provider Business Practice Location Address
First Line : GIFFORD MEDICAL CENTER
Second Line : 44 SOUTH MAIN ST.
City : RANDOLPH
State : VT
Zip : 05060-1381
Country : US
Telephone Number : 802-728-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 02/12/2010

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Directions to “ JOSHUA WHITE MD” Practice Location

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