Organization
DAVID H NEUSTADT PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H NEUSTADT MD (OWNER)
(502) 585-4163
Entity
Organization
Contact information
Practice address
234 E GRAY ST, SUITE 328, LOUISVILLE, KY 40202-1900
(502) 585-4163
(502) 584-7942
Mailing address
234 E GRAY ST, SUITE 328, LOUISVILLE, KY 40202-1900
(502) 585-4163
(502) 584-7942
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062584
ANTHEM BCBS
—
05
—
64109317
—
KY
Enumeration date
10/14/2009
Last updated
10/14/2009
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