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Individual

JUSTIN E. DEVOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 HYGEIA DR, SUITE 2100, NEWARK, DE 19713-2049
(302) 623-0188
(302) 623-0117
Mailing address
200 HYGEIA DR, SUITE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0011252
DE
208D00000X
General Practice Physician
OT014355
PA

Other

Enumeration date
07/06/2011
Last updated
04/08/2015
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