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1104948934
MARK E LUSTBERG
NEW HAVEN, CT
NPI
1104948934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CT 67997)
Enumeration Date
2007-04-04
Last Update Date
2022-01-27
Business Address
MARK E LUSTBERG MD
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-5523
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Mailing Address
MARK E LUSTBERG MD
117 RANDI DR
MADISON, CT 06443-2483
Phone number: 410-375-3160
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