Individual provider · NPI-1

Mark Joseph Cunningham, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Providence, RI

NPI number1881629566

StatusActive

Last updated in NPPESMar 25, 2025

Details

NPI: 1881629566
Entity type: Individual (NPI-1)
Name: Mark Joseph Cunningham
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 11, 2006
Certification date: Mar 25, 2025
Last updated: Mar 25, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	MD18929	RI	Yes

Practice location

2 Dudley St
Providence, RI 02905-3236

Phone 401-444-5891 · Fax 401-444-8158

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Phone 401-444-6779 · Fax 401-444-6912

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