Healthcare Provider Details

I. General information

NPI: 1508781808
Provider Name (Legal Business Name): ALLIE CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 LEBANON ST
MELROSE MA
02176-3225
US

IV. Provider business mailing address

36 ESSEX ST APT 6
SAUGUS MA
01906-4376
US

V. Phone/Fax

Practice location:
  • Phone: 781-979-3000
  • Fax:
Mailing address:
  • Phone: 781-475-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2340033
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: