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Individual
DR. EUGENE JAY LUSTGARTEN
Active
Individual
DR. EUGENE JAY LUSTGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
476
CT
111N00000X
Chiropractor
CH4616
FL
111N00000X
Chiropractor
X003820-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4095099
—
CT
Enumeration date
08/16/2006
Last updated
10/09/2011
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