Organization
MICHAEL G. CASSARO, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA VELTEN (BILLING CLERK)
(812) 207-2092
Entity
Organization
Contact information
Practice address
200 MISSOURI AVE, SUITE B, JEFFERSONVILLE, IN 47130-3061
(812) 207-2092
(812) 284-5083
Mailing address
200 MISSOURI AVE, SUITE B, JEFFERSONVILLE, IN 47130
(812) 207-2092
(812) 284-5083
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
22779
KY
208VP0014X
Interventional Pain Medicine Physician
22779
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317233
ANTHEM PIN
KY
Enumeration date
02/12/2007
Last updated
11/02/2011
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