Individual
MOIRA A CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 DARTMOUTH ST, BOSTON, MA 02116-5123
(617) 859-5101
(617) 859-5050
Mailing address
165 DARTMOUTH ST, BOSTON, MA 02116-5123
(617) 859-5101
(617) 859-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56578
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056578
TUFTS
MA
05
—
3056309
—
MA
01
—
J09181
BLUE CROSS
MA
01
—
PV375
HARVARD PILGRIM
MA
Enumeration date
01/31/2006
Last updated
01/07/2021
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