Provider Demographics
NPI:1861372450
Name:CASELLA, OLIVIA MARIE (NP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:MARIE
Last Name:CASELLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1361
Mailing Address - Country:US
Mailing Address - Phone:508-244-9333
Mailing Address - Fax:
Practice Address - Street 1:700 CONGRESS ST STE 103
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0977
Practice Address - Country:US
Practice Address - Phone:617-472-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2345628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine