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Individual

CASSANDRA V SERVICE

Active
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Individual

CASSANDRA V SERVICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
204892
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022181
BMC HEALTH NET PLAN
—
01
—
0020652
NEIGHBORHOOD HEALTH PLAN
—
05
—
0102831
—
MA
01
—
043517461
GIC INDEMNITY PLAN
—
01
—
10043384
CAPITAL DISTRICT PHP
—
01
—
131258
HARVARD COMM HEALTH
—
01
—
153355
MVP SELECT
—
01
—
160053244
MEDICARE RAILROAD
—
01
—
26372
HEATH NEW ENGLAND
—
01
—
3148787
AETNA
—
01
—
44819
HEALTHY START
—
01
—
J22441
HMO BLUE
—
Enumeration date
11/04/2005
Last updated
05/22/2017
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