Organization
GERARD CASSISTA
Active
Other names
Cassista Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD R CASSISTA DC (CHIROPRACTOR OWNER)
(978) 957-5585
Entity
Organization
Contact information
Practice address
1350 LAKEVIEW AVE, DRACUT, MA 01826-3497
(978) 957-5585
(978) 957-8258
Mailing address
1350 LAKEVIEW AVE, DRACUT, MA 01826-3424
(978) 957-5585
(978) 957-8258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2889
MA
111N00000X
Chiropractor
Primary
553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y39094
BLUE CROSS BLUE SHIELD GR
MA
Enumeration date
09/12/2007
Last updated
03/04/2013
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