Individual
TARA CASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 1ST AVE, 4TH FLOOR, BOSTON, MA 02129-3109
(617) 952-5800
Mailing address
300 1ST AVE, 4TH FLOOR, BOSTON, MA 02129-3109
(617) 952-5800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
267766
MA
Other
Enumeration date
12/16/2010
Last updated
03/28/2015
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