Provider Demographics
NPI:1962741082
Name:CUMMINS, SUSAN KAY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KAY
Last Name:CUMMINS
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:10903 NEW HAMPSHIRE AVE
Mailing Address - Street 2:US FOOD AND DRUG ADMINISTRATION
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1058
Mailing Address - Country:US
Mailing Address - Phone:301-796-2177
Mailing Address - Fax:
Practice Address - Street 1:10903 NEW HAMPSHIRE AVE
Practice Address - Street 2:US FOOD AND DRUG ADMINISTRATION
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1058
Practice Address - Country:US
Practice Address - Phone:301-796-2177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
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Provider Licenses
StateLicense IDTaxonomies
CAG47991208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics