Grace Gia-Ling Wong Casserly, MD Valid NPI

Individual provider · Internal Medicine Physician · Halethorpe, MD

NPI

1154735587

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

D0083021 (MD)

Sex

Female

Sole proprietor

No

Enumerated

2014-06-13

Last updated

2020-08-21