Provider Demographics
NPI:1831107887
Name:CUSHING, MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:CUSHING
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 1:950 ORLEANS RD
Mailing Address - Street 2:ROUTE 39
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2857
Mailing Address - Country:US
Mailing Address - Phone:508-432-7301
Mailing Address - Fax:
Practice Address - Street 1:214 ORLEANS RD STE A
Practice Address - Street 2:
Practice Address - City:NORTH CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02650-3101
Practice Address - Country:US
Practice Address - Phone:508-945-9405
Practice Address - Fax:508-945-5971
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27704207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B73696Medicare UPIN
CAD13174Medicare ID - Type Unspecified