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Organization

INTERNAL MEDICINE OF EAST HAVEN PC

Active
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Organization

INTERNAL MEDICINE OF EAST HAVEN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK SHERARD KASPER MD (PRESIDENT)
(203) 468-9775
Entity
Organization

Contact information

Practice address
144 N MAIN ST STE 5, BRANFORD, CT 06405-3044
(203) 468-9775
Mailing address
144 N MAIN ST STE 5, BRANFORD, CT 06405-3044
(203) 468-9775

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
024588
CT
174400000X
Specialist
024717
CT
174400000X
Specialist
030998
CT
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001309980
CT
Enumeration date
03/31/2006
Last updated
06/11/2026
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