Provider Demographics
NPI:1346505518
Name:CUNNINGHAM, WILLIAM J (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 US HIGHWAY 46 W
Mailing Address - Street 2:CUTECH: 2ND FLOOR
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1743
Mailing Address - Country:US
Mailing Address - Phone:973-331-1620
Mailing Address - Fax:973-331-1622
Practice Address - Street 1:333 US HIGHWAY 46 W
Practice Address - Street 2:CUTECH: 2ND FLOOR
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1743
Practice Address - Country:US
Practice Address - Phone:973-331-1620
Practice Address - Fax:973-331-1622
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03406500207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology