Provider Demographics
NPI:1205078375
Name:KUSHNER, ROCHELLE K (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:K
Last Name:KUSHNER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 YORK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6038
Mailing Address - Country:US
Mailing Address - Phone:410-339-5567
Mailing Address - Fax:410-339-5653
Practice Address - Street 1:1447 YORK RD STE 200
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6038
Practice Address - Country:US
Practice Address - Phone:410-339-5567
Practice Address - Fax:410-339-5653
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA250790208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics