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Individual

DR. ANNE MARIE CUMMINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1300 S ELISEO DR, STE. 201, GREENBRAE, CA 94904-2023
(415) 461-5552
(415) 464-8964
Mailing address
1300 S ELISEO DR, STE. 201, GREENBRAE, CA 94904-2023
(415) 461-5552
(415) 464-8964

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61715
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001617152
PTAN, INDIVIDUAL
CA
01
ZZZ05516Z
PTAN, GROUP
CA
Enumeration date
06/07/2006
Last updated
09/26/2011
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