Individual
JOHN A CAVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DONALD'S WAY STE 200, EAST BRIDGEWATER, MA 02333-1464
(508) 940-0400
(508) 894-0412
Mailing address
1 COMPASS WAY STE 200, E BRIDGEWATER, MA 02333-1464
(508) 697-3677
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158340
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020289
—
MA
01
—
219229
TAHP
MA
01
—
6000556
HPHC
MA
01
—
A36184
MEDICARE
MA
01
—
J26823
BC/BS
MA
Enumeration date
06/01/2006
Last updated
04/09/2024
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