Individual
DR. JUSTIN SEAN RIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3995 BOULEVARD DR, PITTSBURGH, PA 15217-2619
(973) 738-9286
Mailing address
3995 BOULEVARD DR, PITTSBURGH, PA 15217-2619
(973) 738-9286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62824-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2009
Last updated
11/12/2015
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