Individual
DR. JONATHAN D KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1229
(410) 833-2772
(410) 526-4897
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0033184
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002227
AETNA
MD
05
—
430601500
—
MD
01
—
KF68 / 416513-01
BC/BS OF MD
MD
01
—
S190 / 0018
BLUE CHOICE
MD
Enumeration date
08/02/2006
Last updated
07/08/2007
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