Individual
MRS. CYNTHIA MCKALLAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-7779
(978) 475-1662
Mailing address
39 FERNWOOD AVE, HAVERHILL, MA 01835-8153
(978) 521-1492
(978) 475-1662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CFM01485
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408654
—
MA
01
—
339354
BLUECROSSBLUESHIELD
MA
Enumeration date
03/21/2007
Last updated
07/08/2007
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