Individual
DR. BRENNA W CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, GASTROENTEROLOGY ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-1685
(617) 724-5997
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161155
MA
207RG0100X
Gastroenterology Physician
Primary
161155
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107280
—
MA
01
—
161155
TUFTS HEALTH PLAN
MA
01
—
J22586
BCBS MA
MA
Enumeration date
02/28/2006
Last updated
12/12/2012
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