Individual
BRAD CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 CONGRESS ST., PORTLAND, ME 04102
(207) 774-2381
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
014348
ME
2086S0127X
Trauma Surgery Physician
Primary
014348
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290140099
—
ME
05
—
30010638
—
NH
Enumeration date
10/02/2006
Last updated
01/04/2011
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