Individual
DR. EDWIN MARK KASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Mailing address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD068815L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018033970001
—
PA
01
—
01344901
CAPITAL BLUE CROSS
—
01
—
467138
HIGHMARK BLUE SHIELD
—
01
—
P003056
GATEWAY HEALTH PLAN
—
Enumeration date
08/19/2005
Last updated
02/03/2010
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