Doctor Name: | DR. JESSIE LYNNE CASSADA |
NPI Number: | 1578723243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25277 |
Business Practice Address: | 55 Fruit St Dept Anesthesia, Critical Care And Pain Med Boston, MA - 021142621 |
Business Phone Number: | 6177266890 |
Business Fax Number: | |
Mailing Address: | 55 Fruit St, Dept Anesthesia, Critical Care And Pain Med BOSTON |
State: | MA |
Postal Code: | 021142621 |
Phone Number: | 6177266890 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 11/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25277 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |