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1972605962 NPI number — JOSHUA MAX NATHAN MD

NPI Number: 1972605962
Health Care Provider/Practitioner: JOSHUA MAX NATHAN MD

Information about “1972605962” NPI (JOSHUA MAX NATHAN MD) exists in 1972605962 in HTML format HTML  |  1972605962 in plain Text format TXT  |  1972605962 in PDF (Portable Document Format) PDF  |  1972605962 in an XML format XML  formats.

NPI Number : 1972605962 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972605962",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NATHAN",
    "FirstName": "JOSHUA",
    "MiddleName": "MAX",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "150 TARRYTOWN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANCHESTER",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03103-2713",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-622-3162",
    "MailingAddressFaxNumber": "603-622-8677",
    "FirstLinePracticeLocationAddress": "150 TARRYTOWN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANCHESTER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03103-2713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-622-3162",
    "PracticeLocationAddressFaxNumber": "603-622-8677",
    "EnumerationDate": "09/01/2006",
    "LastUpdateDate": "11/21/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "17343",
        "LicenseNumberStateCode": "NH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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