Individual
MICHAEL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-5979
(508) 334-5232
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
278434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274364
—
NY
Enumeration date
05/09/2015
Last updated
05/07/2019
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