Individual
WILLIAM J KUSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 FRANKLIN CORNER RD, STE 207, LAWRENCEVILLE, NJ 08648-2526
(609) 896-9448
(609) 896-7052
Mailing address
123 FRANKLIN CORNER RD, STE 207, LAWRENCEVILLE, NJ 08648-2526
(609) 896-9448
(609) 896-7052
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA018330
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8626006
—
NJ
Enumeration date
05/23/2005
Last updated
10/31/2013
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