Cunnane, Mary Therese

Cunnane, Mary Therese is an individual health care provider with primary practice located at 4640 Jefferson Ln Ne , Albuquerque NM 87109-2127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Cunnane, Mary Therese can be contacted via phone (505) 843-6168.

Contact Information

Primary practice address
4640 Jefferson Ln Ne Albuquerque NM 87109-2127
Phone: (505) 843-6168
Fax: (505) 792-1978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 24905 Nebraska
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 147803-1 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 88-149 New Mexico

Profile Details

NPI number 1518920099
LBN Legal business name Cunnane, Mary Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518920099 NPPES
New York Other 000927695002 BC/BS OF WESTERN NEW YORK
New York MEDICAID 00008169 BC/BS OF WESTERN NEW YORK
New York Other P010147803 BC/BS OF WESTERN NEW YORK
New York Other 5362090 BC/BS OF WESTERN NEW YORK
New York Other 171575CK BC/BS OF WESTERN NEW YORK
New York Other P00265970 BC/BS OF WESTERN NEW YORK

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