Provider Demographics
NPI:1427112267
Name:CASARIO, ELISABETH A (DO)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:A
Last Name:CASARIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3950 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1870
Mailing Address - Country:US
Mailing Address - Phone:412-633-7246
Mailing Address - Fax:412-226-5400
Practice Address - Street 1:3950 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1870
Practice Address - Country:US
Practice Address - Phone:412-633-7246
Practice Address - Fax:412-226-5400
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 009009L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G57078Medicare UPIN
000418TD5Medicare ID - Type UnspecifiedINDIVIDUAL
84958Medicare ID - Type UnspecifiedGROUP