Individual
MR. CRAIG WILLIAM GUS CASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
10/28/2010
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