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Individual

DR. DAVID F KASSERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
302 EL CAMINO REAL, SUITE 5, SIERRA VISTA, AZ 85635-2860
(520) 458-4335
(520) 452-2232

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291839
NY
207Q00000X
Family Medicine Physician
35.054121
OH
208600000X
Surgery Physician
47326
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0821098
OH
Enumeration date
11/07/2006
Last updated
10/14/2024
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