Provider Demographics
NPI:1538297676
Name:CUMMINS, JORDAN M (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:M
Last Name:CUMMINS
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:SUITE 311-T
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6198
Mailing Address - Country:US
Mailing Address - Phone:978-225-3376
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 311-T
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:978-225-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2021-12-07
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Provider Licenses
StateLicense IDTaxonomies
MA242892207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology