Individual
CHERYL ANN CORRAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 COLCORD ST, SOUTH BERWICK, ME 03908-1004
(207) 384-4949
(207) 384-5700
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(207) 384-4949
(207) 384-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0402
NH
363AM0700X
Medical Physician Assistant
Primary
PA-420
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487672135
—
ME
05
—
3074701
—
NH
Enumeration date
07/18/2006
Last updated
01/22/2014
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