Provider Demographics
NPI:1073553731
Name:CAHALANE, MICHAEL JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:CAHALANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:110 FRANCIS ST
Mailing Address - Street 2:SUITE 9F
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-9786
Mailing Address - Fax:617-632-0886
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:SUITE 9F
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-9786
Practice Address - Fax:617-632-0886
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2011-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA54068208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AX1272Medicare ID - Type Unspecified
MAA57188Medicare UPIN