Provider Demographics
NPI:1285760868
Name:FOX, JUSTIN W (MD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:W
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 LINDALL STREET
Mailing Address - Street 2:HUNT CENTER
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:978-774-4400
Mailing Address - Fax:978-777-1462
Practice Address - Street 1:75 LINDALL STREET
Practice Address - Street 2:HUNT CENTER
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-774-4400
Practice Address - Fax:978-777-1462
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA230569207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology