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Individual

JEAN M CASELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
512 MAIN ST, 2 ND FLOOR, SHREWSBURY, MA 01545-6405
(508) 842-6898
(508) 842-6898
Mailing address
512 MAIN ST, 2 ND FLOOR, SHREWSBURY, MA 01545-6405
(508) 842-6898
(508) 842-6898

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78863
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0404144
EVERCARE
01
042472266
PRIVATE HEALTHCARE SYSTEM
01
043058466002
TRICARE
01
1162675
FIRST HEALTH
01
124600
CIGNA HEALTH PLAN
01
15450
FALLON COMM HEALTH PLAN
01
3120686
WELFARE
05
3120686
MA
01
4485083
US HEALTHCARE
01
784235
MVP HEALTH CARE
01
AA1260
HARVARD PILGRIM HEALTHCAR
01
J14532
BLUE SHIELD INDEMNITY
Enumeration date
07/23/2006
Last updated
12/04/2008
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