Provider Demographics
NPI:1528394178
Name:CUMBERLAND PRIMARY CARE INC
Entity Type:Organization
Organization Name:CUMBERLAND PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALTAF
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIRACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-333-8500
Mailing Address - Street 1:2138 MENDON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3834
Mailing Address - Country:US
Mailing Address - Phone:401-333-8500
Mailing Address - Fax:401-333-5711
Practice Address - Street 1:2138 MENDON RD
Practice Address - Street 2:SUITE 101A
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3834
Practice Address - Country:US
Practice Address - Phone:401-333-8500
Practice Address - Fax:401-333-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty