MEDICARE: DR. ANDREW S. CUMMINS

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
1	175F00000X	Naturopath	000537	CT

General Provider Information

NPI Number	:	1437548997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW S. CUMMINS

Provider Business Mailing Address
First Line	:	34 FERRIS AVE
Second Line	:	UNIT A1
City	:	NORWALK
State	:	CT
Zip	:	06854-1581
Country	:	US
Telephone Number	:	309-229-4659
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 RIVERSIDE AVE
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-4804
Country	:	US
Telephone Number	:	203-916-4600
Fax Number	:	203-916-4601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2015
Last Update Date	:	01/21/2015

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