Individual
CASEY ELIZABETH REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2310 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4401
(215) 427-1111
Mailing address
823 SUNNYSIDE AVE, AUDUBON, PA 19403-1822
(610) 312-6354
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063893
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2022
Last updated
12/07/2022
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