Individual
DR. JESSICA TOOREDMAN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01074156A
IN
208800000X
Urology Physician
125054160
IL
2088P0231X
Pediatric Urology Physician
01074156A
IN
2088P0231X
Pediatric Urology Physician
Primary
16320
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V113933
MEDICARE PTAN
NV
Enumeration date
08/05/2008
Last updated
08/11/2016
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