Individual
DR. JUSTIN PERSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-6737
Mailing address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 502-8400
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
050598
CT
Other
Enumeration date
01/08/2008
Last updated
12/19/2016
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