Individual
DR. STACEY A. CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(570) 271-5600
(570) 271-5851
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101245931
VA
208000000X
Pediatrics Physician
046755
CT
208000000X
Pediatrics Physician
Primary
MD454524
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170078268
—
VA
01
—
425147
MEDICARE
PA
Enumeration date
08/17/2007
Last updated
08/31/2020
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