Provider Demographics
NPI:1700912136
Name:CASSANO, PAOLO (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:PAOLO
Middle Name:
Last Name:CASSANO
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 BEDFORD ST STE 230
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-4502
Mailing Address - Country:US
Mailing Address - Phone:617-294-9221
Mailing Address - Fax:617-726-5760
Practice Address - Street 1:57 BEDFORD ST STE 230
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-4502
Practice Address - Country:US
Practice Address - Phone:617-294-9221
Practice Address - Fax:617-726-5760
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2396782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry