Individual
DR. ELSIE MARIE CASIMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3644
(215) 291-2500
(215) 291-2587
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028873L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023044740001
—
PA
01
—
985172
UCCI
PA
Enumeration date
11/05/2006
Last updated
08/09/2021
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