Individual
MONA D JUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 E 11TH ST, BERWICK, PA 18603-2247
(570) 752-6641
(570) 784-5730
Mailing address
226 MCADOO AVE, JERSEY CITY, NJ 07305-2014
(201) 600-1439
(201) 451-5017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
20885
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003463000
—
WV
Enumeration date
12/30/2005
Last updated
04/12/2013
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