Individual
MICHAEL CARLYLE CASCIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
941 NEWMAN RD, NEW BERN, NC 28562-5252
(252) 634-3278
(252) 633-3312
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 633-5333
(252) 633-9443
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101058326
VA
207RC0000X
Cardiovascular Disease Physician
Primary
2013-00785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639166960
—
VA
01
—
PAR
TRICARE
VA
Enumeration date
10/03/2005
Last updated
09/24/2014
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