Individual
JOHN A CASSESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BOULEVARD, SUITE 2000, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BOULEVARD, SUITE 2000, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
10286
RI
2085R0202X
Diagnostic Radiology Physician
204237
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD10286
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
003117125
CT MED ASSISTANCE
—
01
—
007008227
HOSPITAL PIN
—
01
—
010286
BLUE SHIELD
—
01
—
050318025
UNICARE
—
01
—
16 00025
UNITED HEALTH PLANS
—
01
—
241360
RIH PILGRIM
—
01
—
300010864
RAILROAD MEDICARE
—
01
—
3207056
MASSMEDICAID
—
01
—
406967
BLUE CHIP
—
01
—
409791
TUFTS
—
01
—
7008227
RI MEDICAL ASSISTANCE
—
01
—
720099001
CIGNA
—
Enumeration date
11/02/2005
Last updated
08/28/2024
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