Individual
ANDREA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1427 CHAPEL ST, NEW HAVEN, CT 06511-4403
(203) 865-3880
Mailing address
1427 CHAPEL ST, NEW HAVEN, CT 06511-4403
(203) 865-3880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014951
NY
363A00000X
Physician Assistant
Primary
3415
CT
Other
Enumeration date
07/27/2011
Last updated
12/09/2015
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