Individual
DR. MICHAEL E BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 MAPLE ST, NORWALK HOSPITAL, 5TH FLOOR LABORATORY, NORWALK, CT 06850-3815
(203) 852-2649
(203) 899-1518
Mailing address
34 MAPLE ST, NORWALK HOSPITAL, 5TH FLOOR LABORATORY, NORWALK, CT 06850-3815
(203) 852-2649
(203) 899-1518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
025206
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004407771
AETNA#
CT
05
—
001252063
—
CT
01
—
001252063P1
BLUE CARE FAMILY PLAN#
CT
01
—
022040
HEALTHNET#
CT
01
—
061113482
UNITED HEALTHCARE#
CT
01
—
4607645
CIGNA#
CT
01
—
500HBL073CT01
BCBS GROUP#
CT
01
—
713482
CONNECTICARE#
CT
Enumeration date
06/19/2006
Last updated
12/08/2016
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