Individual
ROBERT D CUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 PACIFIC ST, SUITE C2, MONTEREY, CA 93940-5902
(831) 624-5311
(831) 625-4948
Mailing address
757 PACIFIC ST, SUITE C2, MONTEREY, CA 93942
(831) 622-2716
(831) 625-4764
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
G26474
CA
207P00000X
Emergency Medicine Physician
G26474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G264740
BLUE SHIELD
CA
Enumeration date
08/05/2006
Last updated
01/22/2008
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