Dr. Mary Cushman
Hematologist
111 Colchester Ave
Burlington
, Vermont 05401-1473
Dr. Mary Cushman
Hematologist
111 Colchester Ave
Burlington
, Vermont 05401-1473
(802) 985-1107
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Dr. Mary Cushman
- 264 Littlefield Dr
- Shelburne, VT
- Zip : 05482-6357
- Phone : (802) 985-1107
Second Address
- Dr. Mary Cushman
- 111 Colchester Ave
- Burlington, VT
- Zip : 05401-1473
- Fax : (802) 847-1258
- Phone : (802) 847-8400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | 0420008994 | VT |
National Provider Identifier
| NPI | 1316032188 |
|---|---|
| Provider Name | Dr. Mary Cushman |
| First Address | Shelburne, VT 05482-6357 |
| Second Address | Burlington, VT 05401-1473 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01593957 | (05) | NY |
| 1160 | (05) | VT |
| G05268 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.