Individual
JAMES G. CACCIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 CITY HALL MALL, INTERNAL MEDICINE, MEDFORD, MA 02155-4754
(781) 306-5100
(781) 306-5083
Mailing address
26 CITY HALL MALL, INTERNAL MEDICINE, MEDFORD, MA 02155-4754
(781) 306-5100
(781) 306-5083
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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