Mark E Lustberg, MD
Internal Medicine, Infectious Disease in New Haven, Connecticut
1104948934- Practice location
- 20 York St, New Haven, CT 06510-3220
- Phone
- 203-688-5523
- Fax
- 203-688-3216
- Last updated
- January 27, 2022
Mark E Lustberg is an Internal Medicine, Infectious Disease based in New Haven, CT. Mark E Lustberg practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Mark E Lustberg is 1104948934 and holds a License No. 67997 (CT). The current practice location address for Mark E Lustberg is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-688-5523 and via fax at 203-688-3216.
Provider Profile Details
- NPI Number
- 1104948934
- Provider Name
- Mark E Lustberg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 York St, New Haven, CT 06510-3220
- Phone Number
- 203-688-5523
- Fax Number
- 203-688-3216
- Primary Taxonomy
- Internal Medicine, Infectious Disease · 207RI0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 4, 2007
- Last Update Date
- January 27, 2022
- Certification Date
- January 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-688-5523
- Fax Number
- 203-688-3216
Provider Business Mailing Address Details
- Address
- 117 Randi Dr
Madison, CT 06443-2483 - City
- Madison
- State
- CT
- Zip
- 06443-2483
- Phone Number
- 410-375-3160
License Information
- License Number
- 67997
- License State
- CT
- Taxonomy
- Internal Medicine, Infectious Disease · 207RI0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark E Lustberg, MD?
The NPI number of Mark E Lustberg, MD is 1104948934. It was assigned on April 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Mark E Lustberg, MD?
Mark E Lustberg, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in CT under license number 67997.
Where does Mark E Lustberg, MD practice?
The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-688-5523 (phone) or 203-688-3216 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104948934 directly on the NPPES registry website.