Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD-034644-E | PA |
NPI | 1033111851 |
---|---|
Provider Name | Dr. John D Casey |
First Address | West Reading, PA 19611-1410 |
Second Address | West Reading, PA 19611-1410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 11/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011252510005 | (05) | PA |
01814401 | CAPITAL BLUECROSS (01) | PA |
CA432430 | BLUE SHIELD (01) | PA |
F29507 | (02) |