Provider Demographics
NPI:1740440882
Name:CASEL, BERNARD SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:SAMUEL
Last Name:CASEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8005 LAGOON DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402
Mailing Address - Country:US
Mailing Address - Phone:609-823-4273
Mailing Address - Fax:609-823-4903
Practice Address - Street 1:8005 LAGOON DRIVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402
Practice Address - Country:US
Practice Address - Phone:609-823-4273
Practice Address - Fax:609-823-4903
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02100000207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology