Individual
SEAMUS C CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3639 E VIEW DR, OREFIELD, PA 18069-2034
(610) 428-1544
(610) 395-9336
Mailing address
6109 DOMARRAY ST., COOPERSBURG, PA 18036
(610) 282-1941
(610) 395-9336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN281089-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
044700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019681900001
—
PA
05
—
0019681900004
—
PA
01
—
11783666
CAQH
PA
01
—
1343288
HIGHMARK
PA
01
—
1552673
GATEWAY
PA
01
—
2035948000
IBC
PA
01
—
50003495
CAPITAL ADVANTAGE
PA
01
—
7111423
AETNA
PA
01
—
76113
GEISINGER
PA
Enumeration date
06/24/2005
Last updated
03/25/2013
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