Individual
DR. JEFFREY D. CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7901 SCHATZ POINTE DR, DAYTON, OH 45459-3856
(937) 439-0390
(937) 439-7370
Mailing address
500 W MAIN ST, SUITE 108, BABYLON, NY 11702-3027
(631) 517-8006
(631) 517-8007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34003697C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658300
—
OH
Enumeration date
11/23/2005
Last updated
03/15/2011
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