Organization
JEROME P. CASEY DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME P CASEY DPM (PODIATRIST)
(570) 876-1440
Entity
Organization
Contact information
Practice address
401 CHURCH ST, ARCHBALD, PA 18403-2101
(570) 876-1440
(570) 876-0556
Mailing address
401 CHURCH ST, ARCHBALD, PA 18403-2101
(570) 876-1440
(570) 876-0556
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002702L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009895800001
—
PA
01
—
17369
GEISINGER
PA
01
—
3184931
AETNA
PA
01
—
817221
FIRST PRIORITY HEALTH
PA
Enumeration date
12/22/2009
Last updated
12/22/2009
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