Provider Demographics
NPI:1013961606
Name:CUNIS, DAVID JUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JUDE
Last Name:CUNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-1233
Mailing Address - Country:US
Mailing Address - Phone:603-536-3700
Mailing Address - Fax:603-536-5384
Practice Address - Street 1:71 HIGHLAND ST
Practice Address - Street 2:DARTMOUTH HITCHCOCK CLINIC
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1233
Practice Address - Country:US
Practice Address - Phone:603-536-3700
Practice Address - Fax:603-536-5384
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7146208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30001056Medicaid
VT1002571Medicaid
NHNH987801Medicare PIN
E77296Medicare UPIN