Individual
JUSTIN CHUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
10836 DUPONT BLVD, LINCOLN, DE 19960-3730
(302) 841-9552
Mailing address
10836 DUPONT BLVD, LINCOLN, DE 19960-3730
(302) 841-9552
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
172528
DE
246ZC0007X
Surgical Assistant
Primary
172528
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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