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NPI Code Detail

MEDICARE: DR. JENIFER WOO CUSHING AU.D.

MEDICARE: DR. JENIFER WOO CUSHING AU.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
1231H00000XAudiologist01081MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710933577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENIFER WOO CUSHING AU.D.
Provider Business Mailing Address
First Line : 18310 MONTGOMERY VILLAGE AVE STE 520
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20879-3554
Country : US
Telephone Number : 301-977-6317
Fax Number : 301-977-8503
Provider Business Practice Location Address
First Line : 5100 BUCKEYSTOWN PIKE STE 285
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8344
Country : US
Telephone Number : 301-846-0222
Fax Number : 301-846-7707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 04/10/2026

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