Kasper, Mark S

Kasper, Mark S is an individual health care provider with primary practice located at 339 Hemingway Ave , East Haven CT 06512-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kasper, Mark S can be contacted via phone (203) 468-9775.

Contact Information

Primary practice address
339 Hemingway Ave East Haven CT 06512-2318
Phone: (203) 468-9775
Fax: (203) 468-2485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024717 Connecticut

Profile Details

NPI number 1780648238
LBN Legal business name Kasper, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780648238 NPPES
Connecticut MEDICAID 001309980
Connecticut Other 110001474
Connecticut Other C00229

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