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Individual

DR. CHRISTOPHER JAMES JUSTINICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 IRVING AVE, SUITE 504, SYRACUSE, NY 13210
(315) 464-8444
(315) 464-8445
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
238439
NY
2080P0206X
Pediatric Gastroenterology Physician
52412
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02077838
NY
Enumeration date
08/15/2006
Last updated
04/21/2022
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