Individual
DR. JUSTIN DANIEL NEEDHAM
Active
Individual
DR. JUSTIN DANIEL NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2023-03120
NC
207W00000X
Ophthalmology Physician
24771
NE
207W00000X
Ophthalmology Physician
79768
GA
208D00000X
General Practice Physician
24771
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UPIN: VAD000
UPIN
—
Enumeration date
09/04/2008
Last updated
06/26/2025
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