JOHN S CACCIOLA
NPI 1972380533
Student in an Organized Health Care Education/Training Program in Eastham, MA

Active since September 08, 2023
25 CAPTAIN PENNIMAN RD, EASTHAM, MA 02642(610) 348-7523 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John S Cacciola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN S CACCIOLA (NPI 1972380533) is an individual student in an organized health care education/training program provider in Eastham, Massachusetts and active in the NPI registry since September 2023.Information from the official NPPES registry record, last updated September 8, 2023.

NPPES Registry Identity

NPI1972380533
Entity TypeIndividualMale
Provider Legal NameJOHN S CACCIOLA
Location Address25 CAPTAIN PENNIMAN RDEastham, MA 02642-2754
Mailing Address25 Captain Penniman RdEastham, MA 02642-2754 · (610) 348-7523
Sole ProprietorYes
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
NPI 1972380533 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

25 CAPTAIN PENNIMAN RD, Eastham, MA 02642

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972380533, enumerated as an "individual" on September 08, 2023.

The provider is located at 25 CAPTAIN PENNIMAN RD EASTHAM, MA 02642 and the phone number is (610) 348-7523.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.