Healthcare Provider Details

I. General information

NPI: 1437113735
Provider Name (Legal Business Name): DR. RICHARD S CASDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 NORTH ST STE 415
DANBURY CT
06810
US

IV. Provider business mailing address

57 NORTH ST STE 415
DANBURY CT
06810
US

V. Phone/Fax

Practice location:
  • Phone: 203-794-0117
  • Fax: 203-798-7048
Mailing address:
  • Phone: 203-794-0117
  • Fax: 203-798-7048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number019603
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: