Individual provider · NPI-1

Natalie Leah Antosh, MD

Family Medicine · Burlington, VT

NPI number1437778685
StatusActive
Last updated in NPPESAug 18, 2025

Details

NPI
1437778685
Entity type
Individual (NPI-1)
Name
Natalie Leah Antosh
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2020
Certification date
Aug 18, 2025
Last updated
Aug 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine042.0016959VTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

617 Riverside Ave
Burlington, VT 05401-1601

Phone 802-864-6309

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601

Phone 802-860-4324

Other practice locations

789 Pine St
Burlington, VT 05401-4924

Phone 802-864-0693

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