Provider Demographics
NPI:1417392028
Name:CUSTER, CHRISTOPHER CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CURTIS
Last Name:CUSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:C
Other - Last Name:CUSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2500 MORRIS AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5675
Mailing Address - Country:US
Mailing Address - Phone:732-906-9600
Mailing Address - Fax:
Practice Address - Street 1:1801 NEW RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1036
Practice Address - Country:US
Practice Address - Phone:609-208-8969
Practice Address - Fax:833-606-0167
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10300500207LP2900X
NC226232207LP2900X
PAMT203857207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC226232OtherLICENSE NUMBER
PAMT203857OtherLICENSE NUMBER