Individual
THOMAS MARTIN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MOORPARK AVE, STE# 118 RHEMATOLOGY CLINIC, SAN JOSE, CA 95128-2631
(408) 885-6627
Mailing address
751 S BASCOM AVE, RHEUMATOLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G51800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G518000
—
CA
Enumeration date
02/07/2006
Last updated
07/09/2007
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