DOMENIC W. CASABLANCA M.D. P.C. NPI 1730399411

NPI Information

DOMENIC W. CASABLANCA, M.D., P.C. is a primary care clinic center in Shelton, CT. DOMENIC W. CASABLANCA, M.D., P.C. NPI is 1730399411. The provider is registered as an organization entity type.

The provider's business location address is:

4 CORPORATE DR
SUITE 195
SHELTON, CT
ZIP 06484-211
Phone: (203) 225-0375
Fax: (203) 225-0376

The provider's authorized official is Domenic William Casablanca .
The authorized official title is President and has the following contact phone number (203) 225-0375.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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