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Organization

JAMES JUSTOFIN CRNP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES JUSTOFIN CRNP (SOLE PROPRIETOR/PROVIDER)
(610) 316-1164
Entity
Organization

Contact information

Practice address
463 RIDGE RD, TELFORD, PA 18969-1440
(610) 316-1164
(866) 292-3662
Mailing address
463 RIDGE RD, TELFORD, PA 18969-1440
(610) 316-1164
(866) 292-3662

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103760433-0001
PA
Enumeration date
03/15/2020
Last updated
06/24/2021
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