Individual
MATTHEW S CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-0000
(720) 321-1621
Mailing address
PO BOX 223897, PITTSBURGH, PA 15251-2897
(720) 501-5000
(303) 458-3997
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
223682
MA
2085R0202X
Diagnostic Radiology Physician
Primary
48785
CO
2085R0202X
Diagnostic Radiology Physician
MD13183
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107139
—
MA
05
—
30034574
—
CO
01
—
478707
TUFTS HEALTH PLAN
MA
01
—
J28705
BCBS MA
MA
Enumeration date
07/19/2006
Last updated
02/25/2025
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