MEDICARE: PRISCILA RIBEIRO CUMMINGS MD

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	207V00000X	Obstetrics & Gynecology Physician	MT191372	PA
2	207V00000X	Obstetrics & Gynecology Physician	MD443634	PA

General Provider Information

NPI Number	:	1457545071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILA RIBEIRO CUMMINGS MD

Provider Business Mailing Address
First Line	:	4417 N. 6TH ST.
Second Line	:	ESPERANZA HEALTH CENTER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140
Country	:	US
Telephone Number	:	215-302-3150
Fax Number	:	215-807-8951

Provider Business Practice Location Address
First Line	:	4417 NORTH 6TH STREET,
Second Line	:	ESPERANZA HEALTH CENTER
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140
Country	:	US
Telephone Number	:	215-302-3150
Fax Number	:	215-302-3151

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

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	09/27/2013

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