Provider Demographics
NPI:1902221351
Name:STEMBER, JOSEPH NATHANIEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NATHANIEL
Last Name:STEMBER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 E BROADWAY APT J1306
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5540
Mailing Address - Country:US
Mailing Address - Phone:203-247-6402
Mailing Address - Fax:
Practice Address - Street 1:208 E BROADWAY APT J1306
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5540
Practice Address - Country:US
Practice Address - Phone:203-247-6402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program