Individual
JUSTIN G DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 SANSOM ST, 1651 THOMPSON, EMERGENCY MEDICINE DEPARTMENT, PHILADELPHIA, PA 19107-5002
(215) 955-9837
Mailing address
1020 SANSOM ST, 1651 THOMPSON, EMERGENCY MEDICINE DEPARTMENT, PHILADELPHIA, PA 19107-5002
(215) 955-9837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT191498
PA
Other
Enumeration date
07/11/2007
Last updated
07/31/2007
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