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Individual
GERARD R CASSISTA
Active
Individual
GERARD R CASSISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.,D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117046
AETNA
MA
01
—
35446
HPHC
MA
01
—
713889
TUFTS
MA
01
—
Y35401
BCBS
MA
Enumeration date
03/23/2006
Last updated
02/24/2014
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