NPI 1316214463

Jerry G. Cardillo, PAC

Practitioner Physician Assistant Hudson, MA

Practice location

Address: 234 Washington Street, Hudson, MA 01749-3735
Phone: (508) 595-2700
Fax: (508) 221-5136
Mailing address: 630 Plantation St, Worcester, MA 01605-2038

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA4166 (MA)

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Registry record

NPI: 1316214463
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2011
Record last updated: 26 Feb 2016

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.