Individual
DR. EDITH SANBORN KASELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
179 ROUTE 6A, YARMOUTH PORT, MA 02675-1714
(508) 833-0269
(508) 833-1467
Mailing address
179 ROUTE 6A, YARMOUTH PORT, MA 02675-1714
(508) 833-0269
(508) 833-1467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20844
HARVARD PILGRIM
MA
05
—
3106438
—
MA
01
—
728557
TUFTS HEALTH PLAN
MA
01
—
CIGNA
CIGNA
MA
01
—
J13603
BLUE CROSS
MA
Enumeration date
04/07/2006
Last updated
10/31/2011
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