Individual
BRIAN P CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 CHURCH ST, ARLINGTON, VT 05250-0061
(802) 375-6566
(802) 375-6828
Mailing address
PO BOX 61, ARLINGTON, VT 05250-0061
(802) 375-6566
(802) 375-6828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420006211
VT
207RR0500X
Rheumatology Physician
042-0006211
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007997
—
VT
01
—
110099936
RAILROAD MEDICARE
VT
01
—
OX1788
PTAN
—
Enumeration date
07/13/2006
Last updated
05/19/2016
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