Individual
JUSTIN ALAN TERRACCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 244-9970
Mailing address
11808 NORTHUP WAY STE W105, BELLEVUE, WA 98005-1922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61452296
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
07/19/2023
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