Individual
WILLIAM J VERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 4 DULLES BUILDING, PHILADELPHIA, PA 19104
(215) 349-8310
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-7270
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD424426
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012897760001
—
PA
Enumeration date
06/30/2006
Last updated
11/21/2012
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