Individual provider · Type 1 NPI

Michael P. Cacciola, PA-C

Surgical Physician Assistant · Manchester, NH

NPI number 1164812418 Active

Practice location

185 Queen City Ave, Elliot Orthopaedic Surgery
Manchester, NH 03101-7121

Call (603) 625-1655 Map

Fax (603) 626-4686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1065 (NH)

Surgical Physician Assistant: Definition to come...

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About NPI 1164812418

Michael P. Cacciola, PA-C's National Provider Identifier is 1164812418, issued on Jan 26, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Manchester, NH. The record was last updated on Jan 26, 2015.