Individual provider · Type 1 NPI
Robert Allen Lustig, MD
Therapeutic Radiology Physician · Philadelphia, PA
NPI number
1275569964
Active
Practice location
3400 Civic Center Blvd, Concourse Level
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Therapeutic Radiology Physician Primary | 2085R0203X | MD014859 (PA) |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
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About NPI 1275569964
Robert Allen Lustig, MD's National Provider Identifier is 1275569964, issued on Jun 24, 2006. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 9, 2014.