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Individual
CARLA CASULO
Active
Individual
CARLA CASULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
045100
CT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
248510
NY
207RX0202X
Medical Oncology Physician
248510
NY
363AS0400X
Surgical Physician Assistant
248510
NY
Other
Enumeration date
03/02/2007
Last updated
07/07/2023
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