Dr STACY H CANNELL PA is a female medical professional, specializing in Physician Assistant. She graduated in 2002.
COASTAL MEDICAL ASSOCIATES
55 FOGG RD
WEYMOUTH
MA
021902432
Tel: 7817924136
| Npi | 1043437957 |
| Pac Id | 5496788309 |
| Professional Enrollment Id | I20050912001186 |
| Last Name | CANNELL |
| First Name | STACY |
| Middle Name | H |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | COASTAL MEDICAL ASSOCIATES |
| Group Practice Pac Id | 7113029257 |
| Number Of Group Practice Members | 245 |
| Line 1 Street Address | 55 FOGG RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 021902432 |
| Phone Number | 7817924136 |
| Hospital Affiliation Ccn 1 | 220100 |
| Hospital Affiliation Lbn 1 | SOUTH SHORE HOSPITAL |
| Hospital Affiliation Ccn 2 | 220162 |
| Hospital Affiliation Lbn 2 | DANA-FARBER CANCER INSTITUTE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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