Individual
DR. ROBERT DAVID CUMMISKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 AVENUE G, MARRERO, LA 70072-3765
(504) 349-6713
(504) 349-6733
Mailing address
1200 AVENUE G, MARRERO, LA 70072-3765
(504) 834-0626
(504) 833-9480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022089
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09255751
—
MS
05
—
1675181
—
LA
Enumeration date
05/04/2006
Last updated
07/08/2016
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