Organization
CHRISTOPHER D. JUSTOFIN,D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY O JUSTOFIN (OFFICE MANAGER)
(570) 455-2286
Entity
Organization
Contact information
Practice address
106 ROTARY DR, W HAZLETON, PA 18202-1182
(570) 455-2286
(570) 455-2336
Mailing address
106 ROTARY DR, W HAZLETON, PA 18202-1182
(570) 455-2286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008405L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JU866998
PA BLUE SHIELD I.D.
PA
Enumeration date
01/24/2007
Last updated
12/28/2011
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