Provider Demographics
NPI:1184715427
Name:CASEY, ROSEMARY D (MD)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:D
Last Name:CASEY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:SUITE 53 LANKENAU MOB EAST
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:484-572-0513
Mailing Address - Fax:484-572-0514
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 53 LANKENAU MOB EAST
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:484-572-0513
Practice Address - Fax:484-572-0514
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2015-01-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD018410E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
C27863Medicare UPIN
PA027044HK1Medicare PIN
PA000656519Medicaid