Individual
TOM CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-5551
(505) 272-6823
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD2007-0031
NM
208000000X
Pediatrics Physician
MD2007-0031
NM
Other
Enumeration date
08/17/2007
Last updated
03/22/2017
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