Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 54068 | MA |
Y | 208600000X | Surgeon | 54068 | MA |
N | 2086S0127X | Trauma Surgeon | 54068 | MA |
NPI | 1073553731 |
---|---|
Provider Name | Dr. Michael John Cahalane |
First Address | Boston, MA 02215-5501 |
Second Address | Boston, MA 02215-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 14/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A57188 | (02) | MA |