Healthcare Provider Details

I. General information

NPI: 1750668695
Provider Name (Legal Business Name): SARAH CAHILL P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2011
Last Update Date: 11/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BROOKLINE AVE DANA-FARBER CANCER INSTITUTE
BOSTON MA
02115
US

IV. Provider business mailing address

133 COMMONWEALTH AVE APT 1
BOSTON MA
02116-2329
US

V. Phone/Fax

Practice location:
  • Phone: 617-780-5438
  • Fax:
Mailing address:
  • Phone: 617-780-5438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA4275
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: