Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | MD420782 | PA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD420782 | PA |
NPI | 1053476945 |
---|---|
Provider Name | Dr. Justin John Vujevich |
First Address | Pittsburgh, PA 15243-1248 |
Second Address | Pittsburgh, PA 15243-1248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 09/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0026474 | CIGNA (01) | PA |
1021299190001 | (05) | PA |
1426576 | AETNA, HMO (01) | PA |
2774754 | UNITED HEALTH CARE (01) | PA |
411452 | UPMC (01) | PA |
7722850 | AETNA, NON HMO (01) | PW |
I69096 | (02) | PA |
P00408669 | RAILROAD, MEDICARE (01) | PA |