Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MA08169100 | NJ |
NPI | 1013066786 |
---|---|
Provider Name | Dr. Jeffrey Paul Casia |
First Address | Jersey City, NJ 07306-2126 |
Second Address | Jersey City, NJ 07306-2126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |