Individual
JOHN E CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1 ELM ST, LUDLOW, VT 05149-1301
(802) 228-8867
Mailing address
1 ELM ST, LUDLOW, VT 05149-1301
(802) 228-8867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030640
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000912
—
VT
Enumeration date
02/08/2006
Last updated
05/01/2008
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