Healthcare Provider Details

I. General information

NPI: 1659496669
Provider Name (Legal Business Name): CUSHING & RABINOVITZ, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WORCESTER RD
FRAMINGHAM MA
01702-5312
US

IV. Provider business mailing address

60 WORCESTER RD
FRAMINGHAM MA
01702-5312
US

V. Phone/Fax

Practice location:
  • Phone: 508-879-1100
  • Fax:
Mailing address:
  • Phone: 508-879-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number20809
License Number StateMA

VIII. Authorized Official

Name: ZORI RABINOVITZ
Title or Position: PARTNER
Credential: DMD
Phone: 508-879-1100