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Organization

EVELYN V CASAS MD

Active
Other names
Kids Choice Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVELYN V. MELLIJOR-CASAS M.D. (OWNER)
(203) 353-1123
Entity
Organization

Contact information

Practice address
144 MORGAN ST, #8, STAMFORD, CT 06905-5433
(203) 353-1123
(203) 353-1132
Mailing address
144 MORGAN ST, #8, STAMFORD, CT 06905-5433
(203) 353-1123
(203) 353-1132

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001348871
CT
Enumeration date
09/28/2007
Last updated
08/26/2015
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