Individual
DR. MARK S KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
339 HEMINGWAY AVE, EAST HAVEN, CT 06512-2318
(203) 468-9775
(203) 468-2485
Mailing address
339 HEMINGWAY AVE, EAST HAVEN, CT 06512-2318
(203) 468-9775
(203) 468-2485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024717
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001309980
—
CT
01
—
110001474
PTAN
CT
01
—
C00229
MEDICARE PTAN
CT
Enumeration date
04/13/2006
Last updated
02/18/2016
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