Provider Demographics
NPI:1386824027
Name:JAUCIAN, JUSTIN (CA)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:
Last Name:JAUCIAN
Suffix:
Gender:M
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CRESTMONT DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5255
Mailing Address - Country:US
Mailing Address - Phone:973-493-1883
Mailing Address - Fax:
Practice Address - Street 1:5 CRESTMONT DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-5255
Practice Address - Country:US
Practice Address - Phone:973-493-1883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00028500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist