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Individual

DR. GREGORY JOHN CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 HIGHWAY 71, SEA GIRT, NJ 08750-2805
(732) 449-7171
(732) 449-7788
Mailing address
700 HIGHWAY 71, SEA GIRT, NJ 08750-2805
(732) 449-7171
(732) 449-7788

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA05506300
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA05506300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5605407
NJ
Enumeration date
01/26/2006
Last updated
07/09/2010
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