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Individual
WILLIAM A CUMBERWORTH
Active
Individual
WILLIAM A CUMBERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70-29
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645
—
NM
01
—
NM004695
BSHIELD
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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