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Individual

DR. CRAIG A CASSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4590 EDGMONT AVE, BROOKHAVEN, PA 19015-1728
(610) 872-6077
(610) 872-2845
Mailing address
PO BOX 1008, BROOKHAVEN, PA 19015-0008
(610) 872-6077
(610) 872-2845

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000453
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110498000
INDEPENDENCE BLUE CROSS
PA
01
513325
HIGHMARK
PA
01
55515
AETNA
PA
Enumeration date
10/31/2005
Last updated
07/08/2007
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