Organization
CASSCELLS ORTHOPAEDICS AND SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE MELISSA GREENLEY (BILLING ADMINISTRATOR)
(302) 832-6220
Entity
Organization
Contact information
Practice address
2600 GLASGOW AVE., SUITE 104, NEWARK, DE 19702-5703
(302) 832-6220
(302) 832-6226
Mailing address
2600 GLASGOW AVE, SUITE 104, NEWARK, DE 19702-4773
(302) 832-6220
(302) 832-6226
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679664882
UNITED HEALTHCARE
DE
05
—
1679664882
—
DE
01
—
205178646
BC/BS OF DE
DE
01
—
2626449000
INDEPENDENCE BC/BS
DE
01
—
2626449000
AMERI/KEYSTONE/PERSONAL C
—
01
—
610983600
US DEPT OF LABOR
DE
01
—
7922680
AETNA
DE
Enumeration date
09/27/2006
Last updated
07/06/2016
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