Individual
PAULA JEAN CASSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
111 GROSSMAN DRIVE, HARVARD VANGUARD MEDICAL ASSOCIATES, BRAINTREE, MA 02184
(781) 849-1000
Mailing address
111 GROSSMAN DRIVE, BRAINTREE, MA 02184
(781) 849-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
146907
MA
363L00000X
Nurse Practitioner
ARNP9201848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00257636
RAILROAD MEDICARE
FL
01
—
Y078V
BCBS
FL
Enumeration date
01/20/2006
Last updated
08/02/2013
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