Caserta, Michelle C

Caserta, Michelle C is an individual health care provider with primary practice located at 451 State St , North Haven CT 06473-3019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Caserta, Michelle C can be contacted via phone (203) 248-8888.

Contact Information

Primary practice address
451 State St North Haven CT 06473-3019
Phone: (203) 248-8888
Fax: (203) 248-8889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 037672 Connecticut
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 037672 Connecticut

Profile Details

NPI number 1275697310
LBN Legal business name Caserta, Michelle C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 8th, 2011 - about 15 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 1275697310 NPPES
Connecticut MEDICAID 001376723

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