MEDICARE: KATHLEEN ANNE CASSIN MD

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	207VG0400X	Gynecology Physician	MD 7298	RI
2	207V00000X	Obstetrics & Gynecology Physician	MD07298	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	203339	OTHER	BLUE CHIP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	201601	OTHER	BCBS

General Provider Information

NPI Number	:	1679529333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ANNE CASSIN MD

Provider Business Mailing Address
First Line	:	PO BOX 229
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02880-0229
Country	:	US
Telephone Number	:	401-788-3337
Fax Number	:	401-788-3939

Provider Business Practice Location Address
First Line	:	70 KENYON AVE
Second Line	:	SUITE 103
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4239
Country	:	US
Telephone Number	:	401-789-0661
Fax Number	:	401-788-3958

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	04/05/2016

Similar Medicare Providers

1710203666 — KAITLIN R LEE M.D.
Practice Location Address:

70 KENYON AVE
WAKEFIELD, RI
02879-4239

Practice Phone: 401-789-0661
Practice Fax: 401-788-3958

1154316370 — AMY BERROL PA
Practice Location Address:

70 KENYON AVE , SUITE 215
WAKEFIELD, RI
02879-4239

Practice Phone: 401-783-0084
Practice Fax: 401-782-0005

1689661241 — DR. J RUSSELL CORCORAN MD
Practice Location Address:

70 KENYON AVE , SUITE 215
WAKEFIELD, RI
02879-4239

Practice Phone: 401-783-0084
Practice Fax: 401-782-0005

1578547592 — ANDREW P NEUHAUSER M.D.
Practice Location Address:

70 KENYON AVE , SUITE 103
WAKEFIELD, RI
02879-4239

Practice Phone: 701-789-0661
Practice Fax: 401-788-3958

1760450753 — JOAN M SPENCER PCNS
Practice Location Address:

70 KENYON AVE , 326
WAKEFIELD, RI
02879-4239

Practice Phone: 401-788-1277
Practice Fax: 401-788-1514

1376590794 — JAMES RUSSELL CARLSTEN MD
Practice Location Address:

70 KENYON AVE
WAKEFIELD, RI
02879-4239

Practice Phone: 401-782-3803
Practice Fax:

Directions to “ KATHLEEN ANNE CASSIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.