Individual
BRIAN JOSEPH KASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 BELMONT AVE # MEDED2S, YOUNGSTOWN, OH 44504-1006
(330) 480-2994
Mailing address
1100 BOARDMAN CANFIELD RD APT 74C, BOARDMAN, OH 44512-8054
(248) 860-8662
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
58.031112
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.031112
OH
Other
Enumeration date
05/16/2019
Last updated
03/26/2024
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