Individual
DR. JUSTIN PATHICKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2768
(978) 741-1200
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2768
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1016319
MA
207P00000X
Emergency Medicine Physician
294185
NY
207P00000X
Emergency Medicine Physician
DO01283
RI
207Q00000X
Family Medicine Physician
294185
NY
Other
Enumeration date
06/21/2015
Last updated
10/20/2025
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