Individual
GARY JAMES LUSTGARTEN, M.D.,F.A.C.S.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NW 170TH ST, SUITE 302, NORTH MIAMI BEACH, FL 33169-5513
(305) 653-5155
(305) 653-5513
Mailing address
100 NW 170TH ST, SUITE 302, NORTH MIAMI BEACH, FL 33169-5513
(305) 653-5155
(305) 653-5513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0016186
FL
Other
Enumeration date
10/27/2006
Last updated
07/09/2007
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