Individual
JONATHAN HENRY LUSTGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 STATE ROUTE 36, SUITE 330, WEST LONG BRANCH, NJ 07764-1454
(732) 222-8866
(732) 870-6432
Mailing address
121 STATE ROUTE 36, SUITE 330, WEST LONG BRANCH, NJ 07764-1454
(732) 222-8866
(732) 870-6432
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
199245
NY
207T00000X
Neurological Surgery Physician
Primary
25MA06243100
NJ
Other
Enumeration date
02/08/2007
Last updated
07/01/2010
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