Healthcare Provider Details

I. General information

NPI: 1790778553
Provider Name (Legal Business Name): RALPH CAHALY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 02/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WATER ST
MILFORD MA
01757-3015
US

IV. Provider business mailing address

115 WATER ST
MILFORD MA
01757-3015
US

V. Phone/Fax

Practice location:
  • Phone: 508-634-8700
  • Fax: 508-634-8311
Mailing address:
  • Phone: 508-634-8700
  • Fax: 508-634-8311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number76832
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: