Individual
CHRISTOPHER R CANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 878-5200
(781) 331-1763
Mailing address
75 WASHINGTON STREET, NORWELL, MA 02061-9147
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042297845
PHCS/MULTI-PLAN
—
01
—
PTAN AP203001
MEDICARE
MA
Enumeration date
05/04/2006
Last updated
06/22/2009
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