Cassotta, Alexandra
Cassotta, Alexandra is an individual health care provider with primary practice located at 1475 Taney Ave Ste 201, Frederick MD 21702-4747. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cassotta, Alexandra can be contacted via phone (301) 662-1930.Contact Information
Primary practice address
1475 Taney Ave Ste 201
Frederick MD 21702-4747
Phone: (301) 662-1930
Fax: (240) 379-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0067590 | Maryland |
Profile Details
| NPI number | 1184791261 |
|---|---|
| LBN Legal business name | Cassotta, Alexandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Apr 1st, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184791261 | NPPES |
| Maryland | MEDICAID | 018389000 |
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