Individual
DR. ADAM J CZELUSTA
Active
Individual
DR. ADAM J CZELUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L5711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159655302
—
TX
01
—
4325669
CIGNA
TX
01
—
7039471
AETNA
TX
01
—
8M9030
BCBS
TX
Enumeration date
08/02/2005
Last updated
09/21/2010
Update your record
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