Organization
NISSAGE CADET, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISSAGE CADET M.D. (OWNER)
(617) 298-1166
Entity
Organization
Contact information
Practice address
2100 DORCHESTER AVE, ROOM 305, DORCHESTER CENTER, MA 02124-5615
(617) 298-1166
(617) 296-1427
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(781) 749-2133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79276
MA
Other
Enumeration date
05/22/2008
Last updated
10/14/2014
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