Eric Steven Lustig D.P.M.

NPI 1063419117 - Podiatrist - 213E00000X

NPI Details
NPI 1063419117
Gender Male
Enumeration Date 07/05/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4715 PINE ST
PHILADELPHIA PA, 19143-1831, US
Phone (215) 471-0433
Fax (215) 471-0430
Business Location
6836 ROOSEVELT BLVD
PHILADELPHIA PA, 19149-2411, US
Phone (214) 471-0433
Fax (215) 471-0430
Toxanomy
Taxonomy Code 213E00000X
License State Pennsylvania
License Number SC002614L
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According to our database, Dr. Eric Steven Lustig D.P.M. NPI is 1063419117, taxonomy code is 213E00000X and license number is SC002614L, license state is located at Pennsylvania. Eric Steven Lustig D.P.M. physically located at 4715 Pine St, Philadelphia PA, 19143-1831. NPI Number Eric Steven Lustig D.P.M. has the Individual type.

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1063419117 NPI number is provided on an as is basis without warranty of any kind. 1063419117 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Steven Lustig D.P.M. are for informational purposes only.