| Doctor Name: | THERESE P CASAS |
| NPI Number: | 1588773790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 003705 |
| Business Practice Address: | 135 Kinnelon Rd Suite 103 Kinnelon, NJ - 074052333 |
| Business Phone Number: | 9738381771 |
| Business Fax Number: | 9734922858 |
| Mailing Address: | 135 Kinnelon Rd, Suite 103 KINNELON |
| State: | NJ |
| Postal Code: | 074052333 |
| Phone Number: | 9738381771 |
| Fax Number: | 9734922858 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 003705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |