Individual
DR. ANDREW CHARLES BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC, EMERGENCY DEPARTMENT, BURLINGTON, VT 05401-1473
(802) 847-3982
(802) 847-5963
Mailing address
8 DEBRA DR, ESSEX JUNCTION, VT 05452-3414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0010495
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009259
—
VT
05
—
30205448
—
NH
05
—
E01688095
—
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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