Individual
COLLYN CUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 S BROAD ST, LANSDALE, PA 19446-5338
(215) 361-5090
(215) 412-4296
Mailing address
1019 S BROAD ST, LANSDALE, PA 19446-5338
(215) 361-5090
(215) 412-4296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058224
PA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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