Individual
DR. ELLEN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1802 DAY RD, MISHAWAKA, IN 46545-4329
(574) 204-7200
(574) 252-0633
Mailing address
1425 POMPTON AVE, CEDAR GROVE, NJ 07009-1043
(973) 785-8686
(973) 785-8680
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01089272A
IN
Other
Enumeration date
11/24/2006
Last updated
04/22/2025
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