Healthcare Provider Details

I. General information

NPI: 1386295178
Provider Name (Legal Business Name): CAILA MAY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAILA PAQUIN PA-C

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 AJ GORDON CT APT 103
SOUTH HAMILTON MA
01982-2347
US

IV. Provider business mailing address

130 ESSEX ST # 347
SOUTH HAMILTON MA
01982-2325
US

V. Phone/Fax

Practice location:
  • Phone: 952-649-7314
  • Fax:
Mailing address:
  • Phone: 952-649-7314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberPA7279
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: