NPI 1518395284

Cadre Ideal LLC

Organisation Exclusive Provider Organization Dedham, MA

Practice location

Address: 60-70 Milton Street, Dedham, MA 02026
Phone: (617) 755-2225
Mailing address: 60-70 Milton Ave, Dedham, MA 02026

Authorised official

Name: Sonie Cyprien
Title: Manager
Phone: (617) 755-2225

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1518395284
Entity type: Organization
NPI issued: 16 Oct 2013
Record last updated: 1 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.