Walcott, Cassandra R

Walcott, Cassandra R is an individual health care provider with primary practice located at 1324 Belmont St Ste 105 , Brockton MA 02301-4435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Walcott, Cassandra R can be contacted via phone (508) 427-6000.

Contact Information

Primary practice address
1324 Belmont St Ste 105 Brockton MA 02301-4435
Phone: (508) 427-6000
Fax: (508) 427-6010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205296 Massachusetts

Profile Details

NPI number 1366439150
LBN Legal business name Walcott, Cassandra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366439150 NPPES
Other 202245 HPHC
Other 30187 HPHC
MEDICAID 3208273 HPHC
Other 60167 HPHC
Other 205296 HPHC
Other 2329786 HPHC
Other J22392 HPHC
Other 6101419001 HPHC

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