Organization
CASSCELLS ORTHOPAEDICS AND SPORTS MEDICINE, PA
Active
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
Update your record
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