Individual
DR. JAY ERIC CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2616 MEMORIAL BLVD, D, CONNELLSVILLE, PA 15425-1418
(724) 626-7620
(724) 626-1338
Mailing address
2616 MEMORIAL BLVD, D, CONNELLSVILLE, PA 15425-1418
(724) 626-7620
(724) 626-1338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004557R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017463070004
—
PA
Enumeration date
04/12/2006
Last updated
12/20/2007
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