| Domenic W. Casablanca, M.d., P.c. | |
|
4 Corporate Dr Suite 195 Shelton CT 06484-6211 | |
| (203) 225-0375 | |
| (203) 225-0376 |
| Full Name | Domenic W. Casablanca, M.d., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4 Corporate Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Domenic William Casablanca (PRESIDENT) |
| Authorized Official Contact | 2032250375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domenic W. Casablanca, M.d., P.c. 4 Corporate Dr Suite 195 Shelton CT 06484-6211 Ph: (203) 225-0375 | Domenic W. Casablanca, M.d., P.c. 4 Corporate Dr Suite 195 Shelton CT 06484-6211 Ph: (203) 225-0375 |
| NPI Number | 1730399411 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730399411 | NPI | - | NPPES |
| DC4029 | Other | CT | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
News Archive
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