Doctor Name: | DR. IAN JD CAISLEY |
NPI Number: | 1033118534 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 211732 |
Business Practice Address: | 111 E Main St Westfield, NY - 147871310 |
Business Phone Number: | 7163267200 |
Business Fax Number: | 7163266644 |
Mailing Address: | 111 E Main St, WESTFIELD |
State: | NY |
Postal Code: | 147871310 |
Phone Number: | 7163267200 |
Fax Number: | 7163266644 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 211732 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |