Individual
DR. DERVIN JUNIOR CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 TRESSER BLVD FL 17, STAMFORD, CT 06901-3436
(860) 756-0455
Mailing address
856 QUINNIPIAC AVE APT 5, NEW HAVEN, CT 06513-3362
(229) 206-1239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72224
CT
Other
Enumeration date
03/25/2020
Last updated
09/05/2024
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