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Organization
GEORGE A LUSTIG MD PA
Active
Organization
GEORGE A LUSTIG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A LUSTIG MD (PRES)
(954) 724-0099
Entity
Organization
Contact information
Practice address
7710 NW 71ST COURT SUITE 204, TAMARAC, FL 33321-2913
(954) 724-0099
(954) 724-0070
Mailing address
7710 NW 71ST COURT SUITE 204, TAMARAC, FL 33321-2913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
207RC0000X
Cardiovascular Disease Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275786900
—
FL
Enumeration date
06/12/2008
Last updated
06/12/2008
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