Dr. Jacob J Lustgarten
Vascular Surgeon Surgical Critical Care
10810 Connecticut Avenue
Kensington
, Maryland 20895
Dr. Jacob J Lustgarten
Vascular Surgeon Surgical Critical Care
10810 Connecticut Avenue
Kensington
, Maryland 20895
(301) 816-6308
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About
Features
Specialties
- Surgical Critical Care
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jacob J Lustgarten
- 2101 East Jefferson Street Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks
- Rockville, MD
- Zip : 20852
- Fax : (301) 816-6308
- Phone : (301) 816-6660
Second Address
- Dr. Jacob J Lustgarten
- 10810 Connecticut Avenue
- Kensington, MD
- Zip : 20895
- Fax : (301) 929-7114
- Phone : (301) 929-7100
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | 0101229914 | VA |
| N | 2086S0129X | Vascular Surgeon | D0056700 | MD |
| Y | 2086S0129X | Vascular Surgeon | D56700 | MD |
| N | 2086S0129X | Vascular Surgeon | MD32668 | DC |
National Provider Identifier
| NPI | 1316072598 |
|---|---|
| Provider Name | Dr. Jacob J Lustgarten |
| First Address | Rockville, MD 20852 |
| Second Address | Kensington, MD 20895 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F89000 | (02) |
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.