Individual
DR. MARK J KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 HOSPITAL RD STE 310, PRINCE FREDERICK, MD 20678-4041
(410) 535-2005
(410) 535-4850
Mailing address
110 HOSPITAL RD STE 310, PRINCE FREDERICK, MD 20678-4041
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D23468
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154481
AETNA HMO SPECIALIST
MD
01
—
32905001
CAREFIRST OF MARYLAND
MD
01
—
336799
MAMSI HMO
MD
01
—
7720001
AETNA NON-HMO SPECIALIST
MD
01
—
C0410006
CAREFIRST OF DC
DC
Enumeration date
01/10/2007
Last updated
07/09/2007
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