Doctor Name: | JUSTINE MARIE TOVEN |
NPI Number: | 1104239417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 33 Beaver Dr Suite 1 Du Bois, PA - 158012434 |
Business Phone Number: | 8145038070 |
Business Fax Number: | |
Mailing Address: | 33 Beaver Dr, Suite 1 DU BOIS |
State: | PA |
Postal Code: | 158012434 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |