Individual
JAMES JUSTOFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
463 RIDGE RD, TELFORD, PA 18969-1440
(610) 316-1164
(866) 292-3662
Mailing address
463 RIDGE RD, TELFORD, PA 18969-1440
(610) 316-1164
(866) 292-3662
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
SP016743
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016743
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103502564-0005
—
PA
Enumeration date
10/28/2016
Last updated
06/24/2021
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