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Contact Information

DR. LUSTGARTEN
15 MEIGS AVE
MADISON, CT06443-3057
 Phone: 203-245-8217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DR. LUSTGARTEN

NPI # 1578736120
LBN Legal business name DR. LUSTGARTEN
Authorized official EUGENE LUSTGARTEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2008
Last updated 04/03/2008 - About 18 years ago
Identifiers
CT License # 476
CT Medicaid 004095099
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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