Individual
MARIA L. MORO-DE-CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PERKINS FARM DRIVE, SUITE 103, MYSTIC, CT 06355
(860) 870-6385
(860) 245-0000
Mailing address
100 PERKINS FARM DRIVE, SUITE 103, MYSTIC, CT 06355
(860) 886-1433
(860) 886-4644
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
44391
CT
2084N0400X
Neurology Physician
Primary
MD11991
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001443910
—
CT
Enumeration date
07/16/2006
Last updated
07/19/2022
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