Individual
DR. JERRY FRANCIS XAVIER CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(757) 473-3969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241081
VA
Other
Enumeration date
01/13/2006
Last updated
03/25/2020
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