Doctor Name: | MICHELLE C CASERTA |
NPI Number: | 1275697310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 037672 |
Business Practice Address: | 451 State St North Haven, CT - 064733019 |
Business Phone Number: | 2032488888 |
Business Fax Number: | 2032488889 |
Mailing Address: | 451 State St, NORTH HAVEN |
State: | CT |
Postal Code: | 064733019 |
Phone Number: | 2032488888 |
Fax Number: | 2032488889 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 037672 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |