Provider Demographics
NPI:1124083472
Name:CASEY, JOSEPH (MD)
Entity type:Individual
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First Name:JOSEPH
Middle Name:
Last Name:CASEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 SAMARITAN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-3910
Mailing Address - Country:US
Mailing Address - Phone:408-369-7500
Mailing Address - Fax:408-558-6940
Practice Address - Street 1:2400 SAMARITAN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3910
Practice Address - Country:US
Practice Address - Phone:408-369-7500
Practice Address - Fax:408-558-6940
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2011-11-21
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Provider Licenses
StateLicense IDTaxonomies
CAG26374207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42991Medicare UPIN