Individual
DR. MICHAEL J. CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4458
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4458
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
58974
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019748
—
MA
Enumeration date
11/04/2005
Last updated
08/04/2010
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