Healthcare Provider Details

I. General information

NPI: 1558577478
Provider Name (Legal Business Name): PHOEBE A CUSHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 FRANKLIN ST
FRAMINGHAM MA
01702-6671
US

IV. Provider business mailing address

60 FRANKLIN STREET
FRAMINGHAM MA
01702-6671
US

V. Phone/Fax

Practice location:
  • Phone: 508-875-5801
  • Fax: 774-999-0099
Mailing address:
  • Phone: 617-455-7779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number230957
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number230957
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: