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General NPI Number Information
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NPI Number | 1053051599
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Entity Type | Individual
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Provider Name | ERICA BRAUN CASELLA MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1 BETHANY RD STE 65
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City | HAZLET
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State | NJ
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Zip | 07730-1667
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Country | US
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Telephone | 732-264-0700
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Fax | 732-264-1414
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Provider Business Mailing Address
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Address Line | 163 14TH ST APT 8
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City | HOBOKEN
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State | NJ
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Zip | 07030-4482
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Country | US
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Telephone | 201-983-8854
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 25MA12738200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA12738200
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License Number State | NJ
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