Individual
DR. LARRY SHUSTERMAN
Active
Individual
DR. LARRY SHUSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS-006113-L
PA
207R00000X
Internal Medicine Physician
Primary
OS-006113-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011417470005
—
PA
01
—
0080977002
KEYSTONE HEALTH PLAN EAST
PA
01
—
0114174702
AMERICHOICE
PA
01
—
100326
KEYSTONE MERCY HEALTH PLA
PA
01
—
110127288
PALMETTO GBA
PA
01
—
4348882
AETNA
PA
01
—
6724
ELDERHEALTH
PA
01
—
98583
US HEALTHCARE
PA
Enumeration date
09/06/2006
Last updated
03/23/2016
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