Todd Michael Bush, PA-C
Physician Assistant, Surgical in Boston, MA. Individual provider (NPI-1).
NPI number1760615587
StatusActive
Last updated in NPPESAug 27, 2009
Details
- NPI
- 1760615587
- Entity type
- Individual (NPI-1)
- Name
- Mr. Todd Michael Bush
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2009
- Last updated
- Aug 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA1816 | MA | Yes |
Practice location
110 Francis StSuite 2a
Boston, MA 02215-5501
Phone 617-632-8383 · Fax 617-632-7562
Mailing address
110 Francis StSuite 2a
Boston, MA 02215-5501
Phone 617-632-8383 · Fax 617-632-7562
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