Organization
LAWRENCE D KASSAN
Active
Parent organization
LAWRENCE D KASSAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE D KASSAN
Authorized official
DR. LAWRENCE D KASSAN DOM (OWNER)
(215) 336-4151
Entity
Organization
Contact information
Practice address
3458 COTTMAN AVE, PHILADELPHIA, PA 19149-1604
(215) 333-9875
(215) 333-9875
Mailing address
3458 COTTMAN AVE, PHILADELPHIA, PA 19149-1604
(215) 333-8637
(215) 333-9875
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
SC003381L
PA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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