Individual
GERARD R CASSISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.,D.C.
Contact information
Practice address
1350 LAKEVIEW AVE, DRACUT, MA 01826-3497
(978) 957-5585
(978) 957-8258
Mailing address
1350 LAKEVIEW AVE, DRACUT, MA 01826-3497
(978) 957-5585
(978) 957-8258
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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