Individual
JUSTIN CARRICABURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 E 36TH AVE, ANCHORAGE, AK 99508-4372
(907) 565-6522
(907) 565-6592
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0500
(781) 338-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
288087
MA
207Q00000X
Family Medicine Physician
6718
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017394
—
AK
Enumeration date
04/03/2007
Last updated
10/05/2021
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