Individual
JUSTIN A INDYK
Active
Individual
JUSTIN A INDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
35095558
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053949
—
OH
01
—
H650800
CGS - MEDICARE
—
Enumeration date
05/23/2007
Last updated
08/13/2026
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