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Justin Egoville, NP
Psychiatric/Mental Health Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1336410851

Justin Egoville is a Psychiatric/Mental Health Nurse Practitioner based in Merion Station, PA and is specialized in Psychiatric/Mental Health. Justin Egoville practices in Philadelphia, PA and has the professional credentials of NP. The NPI Number for Justin Egoville is 1336410851 and holds a License No. SP011762 (Pennsylvania).

The current practice location address for Justin Egoville is 80001 State Rd., Philadelphia, PA and can be reached out via phone at 215-624-0797. You can also correspond with Justin Egoville through the mailing address at 257 WINDING WAY, MERION STATION, PA - 19066-1225 (mailing address contact number: 610-668-9528).

Location: 80001 State Rd., Philadelphia, PA, 19066-1225
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Provider Profile Details
NPI Number
1336410851
Provider Name
Justin Egoville
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
80001 State Rd., Philadelphia, PA, 19066-1225
Phone Number
215-624-0797
Fax Number
Provider Enumeration Date
01/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80001 State Rd.
City
State
Zip
19136-0000
Phone Number
215-624-0797
Fax Number
person
Provider Business Mailing Address Details
Address
80001 State Rd.
City
State
Zip
19136-0000
Phone Number
215-624-0797
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP011762 (Pennsylvania)
Definition
Definition to come...
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