Casserly, Brian John
Casserly, Brian John is an individual health care provider with primary practice located at 20 Pondmeadow Dr , Reading MA 01867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Casserly, Brian John can be contacted via phone (781) 944-0040.Contact Information
Primary practice address
20 Pondmeadow Dr
Reading MA 01867
Phone: (781) 944-0040
Fax: (781) 944-1684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 45753 | Massachusetts |
Profile Details
| NPI number | 1366516080 |
|---|---|
| LBN Legal business name | Casserly, Brian John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Aug 14th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366516080 | NPPES |
| Massachusetts | MEDICAID | 6195822 |
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