Individual
EDWARD J CUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 SULLIVAN TRL, SUITE 200, EASTON, PA 18040-8397
(610) 250-8799
(610) 829-1183
Mailing address
1800 SULLIVAN TRL, SUITE 200, EASTON, PA 18040-8397
(610) 250-8799
(610) 829-1183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MB33444
NJ
207Q00000X
Family Medicine Physician
Primary
OS003690L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00211963
RAILROAD MEDICARE
NJ
Enumeration date
06/26/2006
Last updated
09/03/2014
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