Individual
MATTHEW THOMAS CUSHING I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
261 LOCUST ST, HARTFORD, CT 06114-2008
(860) 539-3629
(860) 258-2581
Mailing address
261 LOCUST ST, HARTFORD, CT 06114-2008
(860) 539-3629
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
135243
CT
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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