Active NPIIndividual provider

Jerry G Cardillo, PA-C

Physician Assistant in Hudson, Massachusetts

NPI Number1316214463
Practice location
234 Washington Street, Hudson, MA 01749-3735
Fax
508-221-5136
Last updated
February 26, 2016

Jerry G. Cardillo is a Physician Assistant based in Hudson, MA. Jerry G. Cardillo practices in Hudson, MA and has the professional credentials of PA-C. The NPI Number for Jerry G. Cardillo is 1316214463 and holds a License No. PA4166 (MA). The current practice location address for Jerry G. Cardillo is 234 Washington Street, Hudson, MA 01749-3735 and can be reached out via phone at 508-595-2700 and via fax at 508-221-5136.

Provider Profile Details

NPI Number
1316214463
Provider Name
Jerry G. Cardillo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
234 Washington Street, Hudson, MA 01749-3735
Phone Number
508-595-2700
Fax Number
508-221-5136
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 17, 2011
Last Update Date
February 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 Washington Street
Hudson, MA 01749-3735
City
Hudson
Zip
01749-3735
Phone Number
508-595-2700
Fax Number
508-221-5136
Hudson, MA 01749Get directions →

Provider Business Mailing Address Details

Address
630 Plantation St
Worcester, MA 01605-2038
City
Worcester
State
MA
Zip
01605-2038
Phone Number
508-368-5424

License Information

License Number
PA4166
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jerry G Cardillo, PA-C?

The NPI number of Jerry G Cardillo, PA-C is 1316214463. It was assigned on November 17, 2011 and is currently active in the NPPES registry.

What is the specialty of Jerry G Cardillo, PA-C?

Jerry G Cardillo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4166.

Where does Jerry G Cardillo, PA-C practice?

The practice location is 234 Washington Street, Hudson, MA 01749-3735. The office can be reached at 508-595-2700 (phone) or 508-221-5136 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316214463 directly on the NPPES registry website.

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