Individual
JUSTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S CEDAR CREST BLVD FL 2, ALLENTOWN, PA 18103-6202
(610) 402-6164
Mailing address
143 OLD STATE RD, SPRINGFIELD, PA 19064-1727
(412) 952-9991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN667292
PA
367500000X
Certified Registered Nurse Anesthetist
3017184
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN667292
PA
Other
Enumeration date
07/21/2021
Last updated
08/15/2025
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