Individual
CASEY ELDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1272 W MAIN RD, MIDDLETOWN, RI 02842-6405
(401) 847-2900
(401) 849-8446
Mailing address
50 MEMORIAL BLVD, NEWPORT, RI 02840-3636
(401) 847-2290
(401) 849-8446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13630
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2008
Last updated
12/16/2024
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