Justin Aoyama, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003601774
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1003601774
- Entity type
- Individual (NPI-1)
- Name
- Justin Aoyama
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2025
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
833 Chestnut St Ste 220Philadelphia, PA 19107-4405
Phone 215-955-8465
Mailing address
833 Chestnut St Ste 220Philadelphia, PA 19107-4405
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