Provider Demographics
NPI:1184939944
Name:MCCUNE, ANN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:MCCUNE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1221
Mailing Address - Country:US
Mailing Address - Phone:732-616-8889
Mailing Address - Fax:
Practice Address - Street 1:90 ROUTE 22
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3110
Practice Address - Country:US
Practice Address - Phone:973-467-2273
Practice Address - Fax:973-467-5385
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00238600363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant