Individual
DR. ROBERT J KUSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
914 SKIPPACK PIKE, BLUE BELL, PA 19422-1535
(215) 540-0776
(215) 540-9022
Mailing address
914 SKIPPACK PIKE, BLUE BELL, PA 19422-1535
(215) 540-0776
(215) 540-9022
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC003375L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001260825 02
UNITED HEALTHCARE
PA
01
—
000504030
HIGHMARK BLUE SHIELD
PA
01
—
001384519
HIGHMARK BLUE SHIELD
PA
01
—
0109289000
BC PERSONAL CHOICE
PA
01
—
0843387
AETNA
PA
05
—
1031454
—
PA
Enumeration date
06/05/2006
Last updated
10/05/2011
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