Individual
DR. THEODORE CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 WATERS PL, SUITE 506, BRONX, NY 10461-2720
(718) 892-1200
(718) 918-1696
Mailing address
1250 WATERS PL, SUITE 506, BRONX, NY 10461-2720
(718) 892-1200
(718) 918-1696
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
150115
NY
207RP1001X
Pulmonary Disease Physician
Primary
150115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01418386
—
NY
Enumeration date
08/10/2005
Last updated
10/28/2009
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