Provider Demographics
NPI:1043580723
Name:ROLANDO A. CASAL, M.D., FAPWCA
Entity Type:Organization
Organization Name:ROLANDO A. CASAL, M.D., FAPWCA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-329-4606
Mailing Address - Street 1:209 GLENSIDE LN
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-8451
Mailing Address - Country:US
Mailing Address - Phone:717-329-4606
Mailing Address - Fax:
Practice Address - Street 1:209 GLENSIDE LN
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-8451
Practice Address - Country:US
Practice Address - Phone:717-329-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031527L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty