Individual
MARTIN FERRITER CAHILLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
(857) 307-3300
Mailing address
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
(857) 307-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005927
IL
363A00000X
Physician Assistant
Primary
PA100090
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316333172
—
IL
Enumeration date
04/08/2015
Last updated
03/21/2024
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