Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 064083 | NJ |
NPI | 1174503320 |
---|---|
Provider Name | Ephraim S Casper |
First Address | New York, NY 10017-6706 |
Second Address | Basking Ridge, NJ 07920-3444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2006 |
Last Update Date | 19/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B01407 | (02) |