Individual
JAMES G. CACCIOLA
Active
Individual
JAMES G. CACCIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080559
—
MA
01
—
E05110
BC/BS OF MA
MA
Enumeration date
08/14/2006
Last updated
08/23/2011
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