IndividualActive
Robert Lustig, MD
NPI 1275569964 · Therapeutic Radiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1275569964
- Entity type
- Individual
- Primary specialty
- Therapeutic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD014859 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3400 Civic Center Blvd
Concourse Level
Philadelphia, PA 19104-5127
Phone: (215) 662-2428
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2014-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.