Individual
JILL W. CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2301 S BROAD ST, SUITE 205, PHILADELPHIA, PA 19148-3542
(215) 551-8660
(215) 551-9247
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
(215) 955-9655
(215) 955-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051575
PA
Other
Enumeration date
08/14/2006
Last updated
03/04/2008
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