Individual
JUSTIN WILLIAM RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(201) 336-2011
Mailing address
501 WOODLAND RD, PITTSBURGH, PA 15237-3809
(412) 418-0613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
83848
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
83848
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
03/06/2026
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