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General NPI Number Information
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NPI Number | 1346258985
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Entity Type | Individual
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Provider Name | MARY F. CUNNANE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 1020 LOCUST ST SUITE 521
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6731
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Country | US
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Telephone | 215-503-7822
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Fax | 215-503-4817
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Provider Business Mailing Address
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Address Line | 615 CHESTNUT ST 14TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19106-4404
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Country | US
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Telephone | 215-955-9655
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Fax | 215-955-2420
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | MD009345E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD009345E
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License Number State | PA
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