Healthcare Provider Details

I. General information

NPI: 1285790048
Provider Name (Legal Business Name): DELANE E. CASIANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 11/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 BETHLEHEM PIKE
ERDENHEIM PA
19038-7703
US

IV. Provider business mailing address

1016 BETHLEHEM PIKE
ERDENHEIM PA
19038-7703
US

V. Phone/Fax

Practice location:
  • Phone: 267-769-0597
  • Fax:
Mailing address:
  • Phone: 267-769-0597
  • Fax: 267-769-0597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMT181943
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD428639
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: