Healthcare Provider Details

I. General information

NPI: 1598787863
Provider Name (Legal Business Name): JAMES DAVID CAHILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 RIVER ST
SPRINGFIELD VT
05156-2306
US

IV. Provider business mailing address

268 RIVER ST
SPRINGFIELD VT
05156-2306
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-1900
  • Fax: 802-885-1837
Mailing address:
  • Phone: 802-885-1900
  • Fax: 802-885-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number42-003769
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: