Individual
CAROLINE ANNE CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 FENWOOD RD BLDG 4TH, BOSTON, MA 02115-6128
(773) 294-1738
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9412
MA
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/01/2023
Last updated
07/01/2023
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