Provider Demographics
NPI:1497110738
Name:BRUCE A KASTER MD PC
Entity Type:Organization
Organization Name:BRUCE A KASTER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-964-8200
Mailing Address - Street 1:77 CLIFTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3111
Mailing Address - Country:US
Mailing Address - Phone:617-909-2828
Mailing Address - Fax:617-969-0996
Practice Address - Street 1:60 KENDRICK ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2726
Practice Address - Country:US
Practice Address - Phone:617-964-8200
Practice Address - Fax:617-969-0996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA762712084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty