Provider Demographics
NPI:1457545071
Name:CUMMINGS, PRISCILA RIBEIRO (MD)
Entity Type:Individual
Prefix:
First Name:PRISCILA
Middle Name:RIBEIRO
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PRISCILA
Other - Middle Name:SCHALKIWJK
Other - Last Name:RIBEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4417 N. 6TH ST.
Mailing Address - Street 2:ESPERANZA HEALTH CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140
Mailing Address - Country:US
Mailing Address - Phone:215-302-3150
Mailing Address - Fax:215-807-8951
Practice Address - Street 1:4417 NORTH 6TH STREET,
Practice Address - Street 2:ESPERANZA HEALTH CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140
Practice Address - Country:US
Practice Address - Phone:215-302-3150
Practice Address - Fax:215-302-3151
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT191372207V00000X
PAMD443634207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology