MEDICARE: TERESA R CAHILL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	72359	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J12171	OTHER	MA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417935214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA R CAHILL MD

Provider Business Mailing Address
First Line	:	PO BOX 66799
Second Line	:	NEWTON WELLESLEY RADIOLOGY ASSOCIATES
City	:	FALMOUTH
State	:	ME
Zip	:	04105-6799
Country	:	US
Telephone Number	:	207-347-7423
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 WASHINGTON ST
Second Line	:	NEWTON WELLESLEY RADIOLOGY ASSOCIATES
City	:	NEWTON LOWER FALLS
State	:	MA
Zip	:	02462-1607
Country	:	US
Telephone Number	:	617-243-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	07/08/2007

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