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1639165988
PAUL A CANNISTRARO
CAMBRIDGE, MA
NPI
1639165988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 215892)
Enumeration Date
2005-09-22
Last Update Date
2020-11-13
Business Address
Dr. PAUL A CANNISTRARO M.D.
12 ARROW ST STE 210
CAMBRIDGE, MA 02138-5105
Phone number: 617-460-1053
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Mailing Address
Dr. PAUL A CANNISTRARO M.D.
12 ARROW ST STE 210
CAMBRIDGE, MA 02138-5105
Phone number: 617-460-1053
Copy
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