MEDICARE: EDGAR CASADO M.D.

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
1	2085R0204X	Vascular & Interventional Radiology Physician	209751	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	209751	OTHER	MA	TUFTS
2	243748	OTHER	MA	HARVARD PILIGRIM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	J23643	OTHER	MA	BLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number	:	1619958568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDGAR CASADO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 66799
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	04105-6799
Country	:	US
Telephone Number	:	866-689-8860
Fax Number	:	207-347-7401

Provider Business Practice Location Address
First Line	:	2014 WASHINGTON STREET
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02462
Country	:	US
Telephone Number	:	617-243-6162
Fax Number	:	207-347-7401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	03/13/2026

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Directions to “ EDGAR CASADO M.D.” Practice Location

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