Individual
DR. MICHAEL RYAN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 E NEWTON ST, C515, BOSTON, MA 02118-2308
(617) 638-8442
Mailing address
88 E NEWTON ST, C515, BOSTON, MA 02118-2308
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
243921
MA
2086X0206X
Surgical Oncology Physician
Primary
243921
MA
Other
Enumeration date
06/05/2008
Last updated
02/17/2017
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