Individual
DR. MARY F. CUNNANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 LOCUST ST, SUITE 521, PHILADELPHIA, PA 19107-6731
(215) 503-7822
(215) 503-4817
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
(215) 955-9655
(215) 955-2420
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD009345E
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD009345E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00954065
—
PA
05
—
8031908
—
NJ
Enumeration date
08/03/2006
Last updated
11/13/2007
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