Provider Demographics
NPI:1558577478
Name:CUSHMAN, PHOEBE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHOEBE
Middle Name:ANNE
Last Name:CUSHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:68 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6671
Mailing Address - Country:US
Mailing Address - Phone:617-455-7779
Mailing Address - Fax:
Practice Address - Street 1:68 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6671
Practice Address - Country:US
Practice Address - Phone:508-875-5801
Practice Address - Fax:774-999-0099
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230957207RA0401X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine