Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD067160L | PA |
NPI | 1144326976 |
---|---|
Provider Name | David J Casarett |
First Address | Philadelphia, PA 19104 |
Second Address | Philadelphia, PA 19104-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/02/2011 |