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NPI Code Detail

MEDICARE: DR. STUART F KUSHNER M.D.

MEDICARE: DR. STUART F KUSHNER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0805XGeriatric Psychiatry PhysicianMA050771NJ

General Provider Information

NPI Number : 1508014051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART F KUSHNER M.D.
Provider Business Mailing Address
First Line : 1125 TRENTON HARBOURTON RD
Second Line :
City : TITUSVILLE
State : NJ
Zip : 08560-1504
Country : US
Telephone Number : 609-730-6773
Fax Number : 609-730-3538
Provider Business Practice Location Address
First Line : 1125 TRENTON HARBOURTON RD
Second Line :
City : TITUSVILLE
State : NJ
Zip : 08560-1504
Country : US
Telephone Number : 609-730-6773
Fax Number : 609-730-3538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 09/08/2008

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