Individual
ROBERT ALLEN LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL, PHILADELPHIA, PA 19104-5127
(215) 662-2428
Mailing address
3400 CIVIC CENTER BLVD, TRC 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2428
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
MD014859
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006979790001
—
PA
Enumeration date
06/24/2006
Last updated
12/09/2014
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