Kustrup, William J

Kustrup, William J is an individual health care provider with primary practice located at 123 Franklin Corner Rd Ste 207, Lawrenceville NJ 08648-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kustrup, William J can be contacted via phone (609) 896-9448.

Contact Information

Primary practice address
123 Franklin Corner Rd Ste 207 Lawrenceville NJ 08648-2526
Phone: (609) 896-9448
Fax: (609) 896-7052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA018330 New Jersey

Profile Details

NPI number 1295738417
LBN Legal business name Kustrup, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295738417 NPPES
New Jersey MEDICAID 8626006

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