Individual
JOSEPH CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1941 LIMESTONE ROAD, STE 101, WILMINGTON, DE 19808
(302) 633-3555
(302) 633-3559
Mailing address
1941 LIMESTONE ROAD, STE 101, WILMINGTON, DE 19808
(302) 633-3555
(302) 633-3559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000410
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005603463
—
DE
Enumeration date
08/08/2006
Last updated
09/20/2019
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