Individual
CHARLES J LUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
S 6TH AVE & SPRUCE ST, TRHMC REGIONAL CANCER CENTER N GROUND, WEST READING, PA 19611
(610) 374-4404
(610) 374-1396
Mailing address
PO BOX 16052, READING, PA 19612-6052
(610) 374-4404
(610) 374-1396
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD006507E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006470550001
—
PA
01
—
01385901
CAPITAL BLUE CROSS
PA
01
—
017955
HIGHMARK BLUE SHIELD
PA
01
—
110039794
RAILROAD MEDICARE
—
01
—
20015345
AMERIHEALTH MERCY
—
01
—
87786
UNISON
—
Enumeration date
03/31/2006
Last updated
01/27/2010
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