Individual
MR. JOSEPH DANIEL CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
215 EAST 68TH STREET APT 17ZZ, APT 17ZZ, NEW YORK, NY 10065
(917) 575-6302
Mailing address
1200 US HIGHWAY 22 STE 14, BRIDGEWATER, NJ 08807-2943
(917) 575-6302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015721
NY
363A00000X
Physician Assistant
MA066212
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00792000
NJ
Other
Enumeration date
09/14/2012
Last updated
01/08/2025
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