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NPI Code Detail

MEDICARE: MARYA KATE CASARTELLO PA-C

MEDICARE:   MARYA KATE CASARTELLO  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA01727RI
2363A00000XPhysician AssistantPA8276MA

General Provider Information

NPI Number : 1013580166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYA KATE CASARTELLO PA-C
Provider Business Mailing Address
First Line : 1 KETTLE POINT AVE
Second Line :
City : EAST PROVIDENCE
State : RI
Zip : 02914-5375
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 ONEIL BLVD
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-4250
Country : US
Telephone Number : 508-342-1103
Fax Number : 508-342-1945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 05/11/2026

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Directions to “ MARYA KATE CASARTELLO PA-C” Practice Location

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