Individual
SAMUEL JOSEPH CASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9877
(603) 650-0907
Mailing address
1 MEDICAL CENTER DR, DEPT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9877
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
11410
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008187
—
VT
05
—
30201721
—
NH
Enumeration date
07/31/2006
Last updated
08/29/2011
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