Organization
FRANK CASELLA MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J CASELLA D.O.,F.A.C.P. (MEDICAL DOCTOR - PRESIDENT)
(973) 877-2730
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-2730
(973) 877-2731
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-2730
(973) 877-2731
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB05398600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6210201
—
NJ
Enumeration date
01/27/2009
Last updated
04/07/2009
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