Healthcare Provider Details

I. General information

NPI: 1760421291
Provider Name (Legal Business Name): THOMAS F CAHILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HANOVER ST
FALL RIVER MA
02720-5444
US

IV. Provider business mailing address

11 WILLOW ST APT. NO. 1
NEWPORT RI
02840-1900
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-7709
  • Fax:
Mailing address:
  • Phone: 508-679-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number40774
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: