Provider Demographics
NPI:1790778553
Name:CAHALY, RALPH (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:CAHALY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WATER ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3015
Mailing Address - Country:US
Mailing Address - Phone:508-634-8700
Mailing Address - Fax:508-634-8311
Practice Address - Street 1:115 WATER ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3015
Practice Address - Country:US
Practice Address - Phone:508-634-8700
Practice Address - Fax:508-634-8311
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76832207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3112713Medicaid
MAUX0263Medicare PIN
MAF71087Medicare UPIN