Individual
MARYAM BEHESHTI LUSTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 PARK ST, NEW HAVEN, CT 06519-1110
(203) 785-4095
Mailing address
333 CEDAR ST # 205, NEW HAVEN, CT 06510-3206
(203) 785-4095
(203) 785-4116
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
35.090303
OH
207RX0202X
Medical Oncology Physician
Primary
CT68106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3093496
—
OH
Enumeration date
06/11/2006
Last updated
02/05/2026
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