Healthcare Provider Details

I. General information

NPI: 1932787454
Provider Name (Legal Business Name): DANIEL CASEY DO, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HADDON AVE FL 3
CAMDEN NJ
08103-3101
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053
US

V. Phone/Fax

Practice location:
  • Phone: 609-988-6260
  • Fax: 856-988-6270
Mailing address:
  • Phone: 609-988-6260
  • Fax: 856-988-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MB13126100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: