Individual
MICHAEL P CACCIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY, MANCHESTER, NH 03101-7121
(603) 625-1655
(603) 626-4686
Mailing address
185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY, MANCHESTER, NH 03101-7121
(603) 625-1655
(603) 626-4686
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1065
NH
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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