Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MA40604 | NJ |
NPI | 1013007459 |
---|---|
Provider Name | Andrew Kasper |
First Address | Saddle River, NJ 07458-3057 |
Second Address | Saddle River, NJ 07458-3057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C56281 | (02) | NJ |