Healthcare Provider Details

I. General information

NPI: 1205846532
Provider Name (Legal Business Name): JAMES CAHILL, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 RIVER ST
SPRINGFIELD VT
05156-2306
US

IV. Provider business mailing address

PO BOX 910
GREENFIELD MA
01302-0910
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-1900
  • Fax:
Mailing address:
  • Phone: 413-772-8500
  • Fax: 413-772-8900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0420003769
License Number StateVT

VIII. Authorized Official

Name: JAMES CAHILL
Title or Position: OWENER
Credential: MD
Phone: 802-885-1900