| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CASSIDY MELVILLE GRIFFIN | 1477170223 | 2020-06-28 |
Cassidy Melville Griffin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477170223. Registration indicates Cassidy Melville Griffin is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Cassidy Melville Griffin |
| Practice Office Address | 25 HECLA ST APT 1 DORCHESTER, MA US |
| Practice Office Telephone | 6072263531 |
| Mailing Address | 25 HECLA ST APT 1 DORCHESTER, MA 021222972 US |
| Business Telephone | 6072263531 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |