Individual
MATTHEW DONALD BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 BARRA RD STE 103, BIDDEFORD, ME 04005-9461
(207) 283-1126
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD17164
ME
207XS0106X
Orthopaedic Hand Surgery Physician
MD17164
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010416156
CORE / MEDNET / TRAVELERS
—
01
—
0378600001
DMERC
—
01
—
0526606
CIGNA / GREAT WEST
—
01
—
100294000
USPS WC
—
01
—
100522
ANTHEM
—
01
—
128943
AETNA
—
01
—
201017
ASC FACILITY
—
01
—
432322499
MAINECARE
ME
01
—
AA67813
HARVARD PILGRIM
—
01
—
BU-ME2088
CMS PROVIDER IDENTIFICATION NUMBER
—
01
—
ME2088
MEDICARE
—
01
—
MM0716
CLINIC FACILITY
—
Enumeration date
07/26/2006
Last updated
03/01/2021
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