Provider Demographics
NPI:1508014051
Name:KUSHNER, STUART F (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:F
Last Name:KUSHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 TRENTON HARBOURTON RD
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08560-1504
Mailing Address - Country:US
Mailing Address - Phone:609-730-6773
Mailing Address - Fax:609-730-3538
Practice Address - Street 1:1125 TRENTON HARBOURTON RD
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08560-1504
Practice Address - Country:US
Practice Address - Phone:609-730-6773
Practice Address - Fax:609-730-3538
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0507712084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry