Provider Demographics
NPI:1679862049
Name:DESSIO, WHITNEY CHARNELL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:CHARNELL
Last Name:DESSIO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:30 LANDAU RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-3717
Mailing Address - Country:US
Mailing Address - Phone:631-398-6591
Mailing Address - Fax:
Practice Address - Street 1:30 LANDAU RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-3717
Practice Address - Country:US
Practice Address - Phone:631-398-6591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2512442083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine