Lutz, Charles J

Lutz, Charles J is an individual health care provider with primary practice located at 104 Union Ave Suite 1001-1002, Syracuse NY 13203-1843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lutz, Charles J can be contacted via phone (315) 423-7192.

Contact Information

Primary practice address
104 Union Ave Suite 1001-1002 Syracuse NY 13203-1843
Phone: (315) 423-7192
Fax: (315) 423-8013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 223983 New York

Profile Details

NPI number 1477506582
LBN Legal business name Lutz, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Feb 11th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477506582 NPPES
New York MEDICAID 02298608

Popular Providers