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Individual

DR. ALFRED JOHN CASILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 614-3892
(410) 500-4248
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(217) 525-2535

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-06527
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036128318
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D92159
MD

Other

Enumeration date
03/29/2007
Last updated
06/02/2022
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