Individual
DIANA CASALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 OLD YORK RD STE 2B, ABINGTON, PA 19001-3720
(215) 481-2222
(215) 481-4361
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
(215) 481-4141
(215) 481-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005968
MD
363A00000X
Physician Assistant
Primary
MA061167
PA
Other
Enumeration date
10/26/2015
Last updated
04/16/2020
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