Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | A113736 | CA |
Y | 2084N0402X | Child Neurologist | MD452982 | PA |
NPI | 1104127364 |
---|---|
Provider Name | Dr. Zarazuela Zolkipli Cunningham |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2010 |
Last Update Date | 17/09/2014 |