D'Addario, Justin

D'Addario, Justin is an individual health care provider with primary practice located at 1402 S Grand Blvd # M260 , Saint Louis MO 63104-1004. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. D'Addario, Justin can be contacted via phone (845) 656-7412.

Contact Information

Primary practice address
1402 S Grand Blvd # M260 Saint Louis MO 63104-1004
Phone: (845) 656-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 075022 Connecticut

Profile Details

NPI number 1477059772
LBN Legal business name D'Addario, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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