Individual
DIANE CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 MARYLAND RD, SUITE #309, WILLOW GROVE, PA 19090-1216
(215) 481-5450
Mailing address
2500 MARYLAND RD, SUITE #309, WILLOW GROVE, PA 19090-1216
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD041587L
PA
Other
Enumeration date
07/13/2006
Last updated
03/15/2016
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