Individual
DR. JASON KASZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-2750
(812) 355-2751
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-2750
(812) 355-2751
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01071022A
IN
208600000X
Surgery Physician
094152
OH
208600000X
Surgery Physician
MD429945
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201063400
—
IN
Enumeration date
02/04/2008
Last updated
12/17/2020
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