Individual
MICHELLE C CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
451 STATE ST, NORTH HAVEN, CT 06473-3019
(203) 248-8888
(203) 248-8889
Mailing address
24 WASHINGTON AVE, NORTH HAVEN, CT 06473-2356
(203) 248-8888
(203) 248-8889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037672
CT
2080A0000X
Pediatric Adolescent Medicine Physician
037672
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001376723
—
CT
Enumeration date
12/21/2006
Last updated
08/09/2024
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