Provider Demographics
NPI:1609022748
Name:KASTENBAUM, HANNAH ASNE (MD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ASNE
Last Name:KASTENBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 S UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4543
Mailing Address - Country:US
Mailing Address - Phone:215-685-7458
Mailing Address - Fax:
Practice Address - Street 1:321 S UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4543
Practice Address - Country:US
Practice Address - Phone:215-685-7458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2012-0550207ZF0201X
PAMT190273390200000X
PAMD441579207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program