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Individual

JUSTIN MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 PLUM ST FL 5, NEW BRUNSWICK, NJ 08901-2066
(732) 235-5530
Mailing address
10 PLUM ST FL 5, NEW BRUNSWICK, NJ 08901-2066

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA11134900
NJ
207Y00000X
Otolaryngology Physician
A167071
CA

Other

Enumeration date
03/26/2015
Last updated
05/02/2024
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