Dr. Bruce Robert Lustbader
Endodontist
168 Franklin Corner Rd Bldg 2
Lawrenceville
, New Jersey 08648
Dr. Bruce Robert Lustbader
Endodontist
168 Franklin Corner Rd Bldg 2
Lawrenceville
, New Jersey 08648
(609) 896-2401
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Bruce Robert Lustbader
- 168 Franklin Corner Rd Bldg 2
- Lawrenceville, NJ
- Zip : 08648
- Fax : (609) 896-2401
- Phone : (609) 896-2400
Second Address
- Dr. Bruce Robert Lustbader
- 168 Franklin Corner Rd Bldg 2
- Lawrenceville, NJ
- Zip : 08648
- Fax : (609) 896-2401
- Phone : (609) 896-2400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 11759 | NJ |
National Provider Identifier
| NPI | 1104913516 |
|---|---|
| Provider Name | Dr. Bruce Robert Lustbader |
| First Address | Lawrenceville, NJ 08648 |
| Second Address | Lawrenceville, NJ 08648 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.