Provider Demographics
NPI:1467646687
Name:AUNG & CASASNOVAS, M.D.,PA
Entity Type:Organization
Organization Name:AUNG & CASASNOVAS, M.D.,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FAAP
Authorized Official - Phone:410-464-5700
Mailing Address - Street 1:PO BOX 20089
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21284-0089
Mailing Address - Country:US
Mailing Address - Phone:410-464-5700
Mailing Address - Fax:410-464-5701
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:PROFESSIONAL OFFICE BUILDING, SUITE#402
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:410-464-5700
Practice Address - Fax:410-464-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty