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NPI Code Detail

MEDICARE: DR. KENNETH BLANCE CUMMINGS M.D

MEDICARE: DR. KENNETH BLANCE CUMMINGS M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianG18169CA

General Provider Information

NPI Number : 1518133560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH BLANCE CUMMINGS M.D
Provider Business Mailing Address
First Line : 136 ROLLING HILL RD
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2321
Country : US
Telephone Number : 609-466-3004
Fax Number : 609-466-4522
Provider Business Practice Location Address
First Line : 136 ROLLING HILL RD
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2321
Country : US
Telephone Number : 609-466-3004
Fax Number : 609-466-4522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 04/30/2008

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