Provider Demographics
NPI:1578790721
Name:CUNNINGHAM, PAUL CLIFFORD (RT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CLIFFORD
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:30 WHITE FALLS TRL
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-1828
Mailing Address - Country:US
Mailing Address - Phone:401-284-2311
Mailing Address - Fax:
Practice Address - Street 1:30 WHITE FALLS TRL
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-1828
Practice Address - Country:US
Practice Address - Phone:401-284-2311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging