Individual
HERB LUSTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39105
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001391052
—
CT
Enumeration date
09/27/2005
Last updated
02/22/2010
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