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Individual
DR. ROBERT J KUSTRA
Active
Individual
DR. ROBERT J KUSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC003375L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001260825 02
UNITED HEALTHCARE
PA
01
—
000504030
HIGHMARK BLUE SHIELD
PA
01
—
001384519
HIGHMARK BLUE SHIELD
PA
01
—
0109289000
BC PERSONAL CHOICE
PA
01
—
0843387
AETNA
PA
05
—
1031454
—
PA
Enumeration date
06/05/2006
Last updated
10/05/2011
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