Provider Demographics
NPI:1144331877
Name:CASSELS, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:CASSELS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9517 BRIGADOON LANE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704
Mailing Address - Country:US
Mailing Address - Phone:203-667-6502
Mailing Address - Fax:203-431-1749
Practice Address - Street 1:9517 BRIGADOON LANE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704
Practice Address - Country:US
Practice Address - Phone:203-667-6502
Practice Address - Fax:203-431-1749
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT023840207X00000X
MDD0072763207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
010023840CT03OtherANTHEM BCBS
023840OtherCONNECTICARE
CT019448419Medicaid
0526813002OtherCIGNA
227180OtherUNITED HEALTHCARE
2V3910OtherHLTHNET OF THE NORTHEAST
B37677Medicare UPIN