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Individual

MARCO J. CERASOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2600 GLASGOW AVENUE, SUITE 100, NEWARK, DE 19702-4773
(302) 836-8350
(302) 836-8359
Mailing address
200 HYGEIA DRIVE, SUITE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000211
DE
363AM0700X
Medical Physician Assistant
C50000211
DE

Other

Enumeration date
07/17/2006
Last updated
01/07/2016
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