Individual
RANDY S KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 988-6260
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB04980300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MB04980300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009928
AETNA
NJ
01
—
0097412000
AMERIHEALTH
NJ
01
—
050046259
RAILROAD MEDICARE
NJ
01
—
1059897
HORIZON NJ HEALTH
NJ
01
—
222041639
TAX ID
NJ
05
—
2403501
—
NJ
01
—
36019
AMERIGROUP
NJ
Enumeration date
06/14/2006
Last updated
11/20/2025
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