Provider Demographics
NPI:1669439964
Name:CUMMING, ROBERT G (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:CUMMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:410-933-9000
Mailing Address - Fax:410-933-9085
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:SUITE 670
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-933-9000
Practice Address - Fax:410-933-9085
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00129452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD761161700Medicaid
MD761161700Medicaid
C57521Medicare UPIN