John S Cacciola
John S Cacciola is a Student in an Organized Health Care Education/Training Program in Eastham, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
25 Captain Penniman RdEastham, MA 02642-2754
Phone: (610) 348-7523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1972380533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2023 |
| Last updated in NPPES | September 8, 2023 |
| Certification date | September 8, 2023 |
| Mailing address | 25 Captain Penniman Rd, Eastham, MA 02642-2754 |