Individual
BRIAN P CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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