Individual
DR. MARY E. CUNNANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3842
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3842
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
215244
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181536
—
MA
Enumeration date
10/28/2005
Last updated
11/10/2011
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