Individual provider · Type 1 NPI
Erin Marie Casey
Medical Physician Assistant · Revere, MA
NPI number
1568005122
Active
Practice location
454 Broadway Fl 3
Revere, MA 02151-3034
Fax (781) 485-8220
Other practice locations
- 454 Broadway Fl 3, Revere, MA 02151-3034 · (781) 485-8222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 58210 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 8490 (MA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Revere
About NPI 1568005122
Erin Marie Casey's National Provider Identifier is 1568005122, issued on Oct 25, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Revere, MA. The record was last updated on Sep 13, 2022.