Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | MD431355 | PA |
NPI | 1508071283 |
---|---|
Provider Name | Dr. Elaine Ann Cassidy |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 10/09/2021 |