Individual
CASEY JO HUMBYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 W WASHINGTON SQUARE, FARM JOURNAL BUILDING 5TH FLOOR, PHILADELPHIA, PA 19106-3500
(215) 829-3668
(215) 829-5002
Mailing address
230 W WASHINGTON SQUARE, FARM JOURNAL BUILDING 5TH FLOOR, PHILADELPHIA, PA 19106-3500
(215) 829-3668
(215) 829-5002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD471570
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082010500
—
MD
01
—
P01390683
RAILROAD MC
MD
Enumeration date
05/01/2008
Last updated
01/21/2021
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