Organization
CONCENTUS
Active
Other names
RenovoMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN MARIE CASELLO MD (CEO)
(508) 842-6898
Entity
Organization
Contact information
Practice address
512 MAIN ST, PENTHOUSE, SHREWSBURY, MA 01545-6405
(508) 842-6898
Mailing address
512 MAIN ST, PENTHOUSE, SHREWSBURY, MA 01545-6405
(508) 842-6898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78863
MA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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