Individual
MELISHA CUMBERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50051
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156121
USA
CT
01
—
635099
WELLCARE
CT
01
—
P01117224
RAILROAD MEDICARE
CT
01
—
P4387957
OXFORD
CT
Enumeration date
08/07/2007
Last updated
07/14/2014
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