Individual
MICHELE CASOLI-REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MAY ST., SOUTH ATTLEBORO, MA 02703
(508) 838-2284
(508) 838-2200
Mailing address
200 MAY ST., SOUTH ATTLEBORO, MA 02703
(508) 838-2284
(508) 838-2200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
211080
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
211089
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3185869
—
MA
Enumeration date
08/18/2006
Last updated
11/21/2023
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