Individual
DR. EUGENE JAY LUSTGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3075 W OAKLAND PARK BLVD STE 101, OAKLAND PARK, FL 33311-1215
(954) 677-8484
(954) 677-8966
Mailing address
3075 W OAKLAND PARK BLVD STE 101, OAKLAND PARK, FL 33311-1215
(954) 677-8484
(954) 677-8966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
476
CT
111N00000X
Chiropractor
CH4616
FL
111N00000X
Chiropractor
X003820-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4095099
—
CT
Enumeration date
08/16/2006
Last updated
10/09/2011
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