Individual
OLIVIA A CASIMIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 NEWELL RD STE E36, BRISTOL, CT 06010-5132
(860) 583-9252
(860) 585-9848
Mailing address
78 ROBERTA DR, MIDDLETOWN, CT 06457-5510
(404) 718-9514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6773
CT
Other
Enumeration date
04/01/2024
Last updated
09/27/2024
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