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John S Cacciola
Student in an Organized Health Care Education/Training Program in Eastham, Massachusetts
NPI 1972380533

John S Cacciola is a Student in an Organized Health Care Education/Training Program based in Eastham, MA. John S Cacciola practices in Eastham, MA. The NPI Number for John S Cacciola is 1972380533 and holds a License No. (Massachusetts).

The current practice location address for John S Cacciola is 25 Captain Penniman Rd, Eastham, MA and can be reached out via phone at 610-348-7523.

Location: 25 Captain Penniman Rd, Eastham, MA, 02642-2754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972380533
Provider Name
John S Cacciola
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Captain Penniman Rd, Eastham, MA, 02642-2754
Phone Number
610-348-7523
Fax Number
Provider Enumeration Date
09/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 Captain Penniman Rd
City
Eastham
State
Massachusetts
Zip
02642-2754
Phone Number
610-348-7523
Fax Number
person
Provider Business Mailing Address Details
Address
25 Captain Penniman Rd
City
Eastham
State
Massachusetts
Zip
02642-2754
Phone Number
610-348-7523
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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