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Individual

DR. JEFFREY L 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) 286-1126
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 795-0260

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017054
ME
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
017054
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010416156
CORE/MEDNET/TRAVELERS
01
0378600001
DMERC
01
100294000
USPS WC
01
100523
ANTHEM
01
1244603
AETNA
01
201017
ASC FACILITY
01
432287699
MAINECARE
ME
01
6148095
CIGNA / GREAT WEST
01
AA67814
HARVARD PILGRIM
01
ME2027
MEDICARE
01
MM0716
CLINIC FACILITY
Enumeration date
06/30/2006
Last updated
04/27/2021
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