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Individual
COLLEEN M. CASEY
Active
Individual
COLLEEN M. CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001199
CT
363A00000X
Physician Assistant
Primary
PA304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970030538
RAILROAD
—
Enumeration date
02/14/2006
Last updated
10/20/2021
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