| Doctor Name: | DR. CHARLES W BUSH |
| NPI Number: | 1356328918 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D0019248 |
| Business Practice Address: | 2501 Oakington St Aberdeen Proving Ground, MD - 210055131 |
| Business Phone Number: | 4102781902 |
| Business Fax Number: | 4102781766 |
| Mailing Address: | 2501 Oakington St, ABERDEEN PROVING GROUND |
| State: | MD |
| Postal Code: | 210055131 |
| Phone Number: | 4102781902 |
| Fax Number: | 4102781766 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | D0019248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |