Organization Name: | ELLEN E CUNNINGHAM MD,LLC |
NPI Number: | 1376773846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN E CUNNINGHAM (OWNER) |
Mailing Address: | 1425 Pompton Ave Ste 1-1 Cedar Grove |
State: | NJ US |
Postal Code: | 070091043 |
Phone Number: | 9737858686 |
Fax Number: | 9737858680 |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 08/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA07362900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |