Provider Demographics
NPI:1891362109
Name:CAVALIERE, ALESSANDRO GAETANO (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ALESSANDRO
Middle Name:GAETANO
Last Name:CAVALIERE
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1340 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4302
Mailing Address - Country:US
Mailing Address - Phone:617-267-0900
Mailing Address - Fax:617-867-8646
Practice Address - Street 1:1340 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-4302
Practice Address - Country:US
Practice Address - Phone:617-267-0900
Practice Address - Fax:617-867-8646
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-06
Last Update Date:2023-05-02
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Provider Licenses
StateLicense IDTaxonomies
MAPA8126363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant