Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 35-093568 | OH |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 35-093568 | OH |
N | 207NS0135X | Procedural Dermatology | 35-093568 | OH |
NPI | 1467572743 |
---|---|
Provider Name | Dr. Angela Sanfilippo Casey |
First Address | Westerville, OH 43082 |
Second Address | Westerville, OH 43082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 19/06/2013 |