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Individual

ASHLEY I BUSH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13TH STREET, BUILDING 149, MASSACHUSETTS GENERAL HOSPITAL, CHARLESTOWN, MA 02129
(617) 726-8244
Mailing address
91 SUMMER ST, APARTMENT #3, SOMERVILLE, MA 02143-2737
(617) 726-8244

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81741
MA

Other

Enumeration date
05/31/2006
Last updated
07/08/2007
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