Provider Demographics
NPI:1336488618
Name:REIF, JUSTIN WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:WARREN
Last Name:REIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:62 S ELLIOTT PL
Mailing Address - Street 2:#4B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1550 N 115TH ST
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8401
Practice Address - Country:US
Practice Address - Phone:206-368-1765
Practice Address - Fax:206-368-1197
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA60329876207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine