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Domenic W. Casablanca, M.d., P.c.
Primary Care Clinic/Center in Shelton, Connecticut
NPI 1730399411

Domenic W. Casablanca, M.d., P.c. is a Primary Care Clinic/Center based in Shelton, CT and is specialized in Primary Care. Domenic W. Casablanca, M.d., P.c. practices in Shelton, CT. The NPI Number for Domenic W. Casablanca, M.d., P.c. is 1730399411 and holds a License No. (Connecticut).

The current practice location address for Domenic W. Casablanca, M.d., P.c. is 4 Corporate Dr, Shelton, CT and can be reached out via phone at 203-225-0375 and via fax at 203-225-0376.

Location: 4 Corporate Dr, Shelton, CT, 06484-6211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730399411
Provider Name
Domenic W. Casablanca, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
4 Corporate Dr, Shelton, CT, 06484-6211
Phone Number
203-225-0375
Fax Number
203-225-0376
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC4029 01 CT MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4 Corporate Dr
City
Shelton
State
Connecticut
Zip
06484-6211
Phone Number
203-225-0375
Fax Number
203-225-0376
person
Provider Business Mailing Address Details
Address
4 Corporate Dr
City
Shelton
State
Connecticut
Zip
06484-6211
Phone Number
203-225-0375
Fax Number
203-225-0376
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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