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NPI Code Detail

MEDICARE: JUSTIN MIKEL LITOFSKY DO

MEDICARE:   JUSTIN MIKEL LITOFSKY  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianOT025496PA
2390200000XStudent in an Organized Health Care Education/Training ProgramOT025496PA

General Provider Information

NPI Number : 1669303921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN MIKEL LITOFSKY DO
Provider Business Mailing Address
First Line : 10800 KNIGHTS RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number : 215-612-5161
Fax Number :
Provider Business Practice Location Address
First Line : 10800 KNIGHTS RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number : 215-612-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ JUSTIN MIKEL LITOFSKY DO” Practice Location

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