Individual
DR. JEFFERY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4020
(401) 649-4021
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 784-4913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56847
MN
207R00000X
Internal Medicine Physician
Primary
MD20941
RI
208000000X
Pediatrics Physician
56847
MN
Other
Enumeration date
04/08/2009
Last updated
10/09/2025
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