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Individual

MICHELLE CAHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
5 TARKILN RD, KINGSTON, MA 02364-1250
(781) 585-2200
(781) 585-1784
Mailing address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 585-2200
(781) 585-1784

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
262
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042297845
TRICARE
MA
01
042297845
PHCS/MULTI-PLAN
01
54836
FALLON
MA
Enumeration date
10/24/2005
Last updated
12/28/2010
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