| Doctor Name: | DR. EUGENE MARK SHUSTERMAN |
| NPI Number: | 1487608857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A062178 |
| Business Practice Address: | 5700 Arnold St 72mdg/sghq Oklahoma City, OK - 731458105 |
| Business Phone Number: | 4057344445 |
| Business Fax Number: | 4057342571 |
| Mailing Address: | 590 Trebbiano Pl, PLEASANTON |
| State: | CA |
| Postal Code: | 945666671 |
| Phone Number: | 9253988031 |
| Fax Number: | 9253988061 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A062178 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |