Individual
TERESA CASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 OLD RUDNICK LN, DOVER, DE 19901-4912
(302) 674-2616
Mailing address
209 BEVERLY PL, WILMINGTON, DE 19809-2905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000800
DE
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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