Individual
SCOTT R. CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, 690 NORTH, WORCESTER, MA 01608-1216
(508) 363-9530
Mailing address
123 SUMMER ST, 690 NORTH, WORCESTER, MA 01608-1216
(508) 363-9530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
268197
MA
Other
Enumeration date
05/02/2013
Last updated
10/26/2016
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