MEDICARE: DR. MICHAEL P CASEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MD016266E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184698722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL P CASEY M.D.

Provider Business Mailing Address
First Line	:	368 THORNBROOK AVE
Second Line	:
City	:	ROSEMONT
State	:	PA
Zip	:	19010-1660
Country	:	US
Telephone Number	:	610-527-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4022
Country	:	US
Telephone Number	:	215-829-5027
Fax Number	:	215-829-6391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	10/27/2011

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