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1720088545
JAY LUSTBADER
WASHINGTON, DC
NPI
1720088545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: DC 17514)
Enumeration Date
2005-07-22
Last Update Date
2012-03-09
Business Address
-- JAY LUSTBADER
3800 RESERVOIR RD NW
WASHINGTON, DC 20007-2113
Phone number: 202-444-4448
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Mailing Address
-- JAY LUSTBADER
PO BOX 418283
BOSTON, MA 02241-8283
Phone number: 703-558-1544
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