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Individual

DR. LISETTE HELENE CASAGRANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
767 NORTHFIELD AVE, WEST ORANGE, WEST ORANGE, NJ 07052-1194
(973) 992-9022
(973) 992-9024
Mailing address
767 NORTHFIELD AVE, WEST ORANGE, WEST ORANGE, NJ 07052-1194
(973) 992-9022
(973) 992-9024

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252202
NY
207R00000X
Internal Medicine Physician
25MA09899000
NJ
207RN0300X
Nephrology Physician
252202
NY
207RN0300X
Nephrology Physician
Primary
25MA09899000
NJ

Other

Enumeration date
06/05/2008
Last updated
08/15/2016
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