MEDICARE: MARTIN FERRITER CAHILLANE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085005927	IL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363A00000X	Physician Assistant	PA100090	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316333172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN FERRITER CAHILLANE PA-C

Provider Business Mailing Address
First Line	:	301 S HUNTINGTON AVE
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4807
Country	:	US
Telephone Number	:	857-307-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 S HUNTINGTON AVE
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4807
Country	:	US
Telephone Number	:	857-307-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	03/21/2024

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Directions to “ MARTIN FERRITER CAHILLANE PA-C” Practice Location

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