Individual
COLLEEN MARY CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
330 WASHINGTON ST, SUITE 510, NORWICH, CT 06360-2700
(860) 885-1308
(860) 889-1982
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000221
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008010916
—
CT
Enumeration date
01/13/2006
Last updated
06/06/2014
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