# JEROME P. CASEY DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336478338
- **Authorized official:** DR. JEROME P CASEY DPM (PODIATRIST)
- **Authorized official phone:** (570) 876-1440

## Contact information

- **Practice address:** 401 CHURCH ST, ARCHBALD, PA 18403-2101
- **Practice address phone:** (570) 876-1440
- **Practice address fax:** (570) 876-0556
- **Mailing address:** 401 CHURCH ST, ARCHBALD, PA 18403-2101
- **Mailing address phone:** (570) 876-1440
- **Mailing address fax:** (570) 876-0556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC002702L | PA | Yes |

## Other

- **Enumeration date:** 12/22/2009
- **Last updated:** 12/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009895800001 | — | PA |
| 01 | — | 17369 | GEISINGER | PA |
| 01 | — | 3184931 | AETNA | PA |
| 01 | — | 817221 | FIRST PRIORITY HEALTH | PA |