Provider Demographics
NPI:1710389945
Name:STUART S. KASSAN, M.D., F.A.C.P., P.C.
Entity Type:Organization
Organization Name:STUART S. KASSAN, M.D., F.A.C.P., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:S
Authorized Official - Last Name:KASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-892-6033
Mailing Address - Street 1:198 UNION BLVD.
Mailing Address - Street 2:#150
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2259
Mailing Address - Country:US
Mailing Address - Phone:303-892-6033
Mailing Address - Fax:303-892-8809
Practice Address - Street 1:198 UNION BLVD.
Practice Address - Street 2:#150
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2259
Practice Address - Country:US
Practice Address - Phone:303-892-6033
Practice Address - Fax:303-892-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty