Provider Demographics
NPI:1821014366
Name:DRS NEWMAN WOOSTER KASS BRADFORD MCCORMACK & HURWITZ P A
Entity Type:Organization
Organization Name:DRS NEWMAN WOOSTER KASS BRADFORD MCCORMACK & HURWITZ P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDERIC
Authorized Official - Middle Name:H
Authorized Official - Last Name:KASS
Authorized Official - Suffix:III
Authorized Official - Credentials:M D
Authorized Official - Phone:301-733-8600
Mailing Address - Street 1:11110 MEDICAL CAMPUS RD
Mailing Address - Street 2:STE 130
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6700
Mailing Address - Country:US
Mailing Address - Phone:301-733-8600
Mailing Address - Fax:301-733-8918
Practice Address - Street 1:11110 MEDICAL CAMPUS RD
Practice Address - Street 2:STE 130
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6700
Practice Address - Country:US
Practice Address - Phone:301-733-8600
Practice Address - Fax:301-733-8918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS108OtherBS MD
MD263501100Medicaid
DCF288OtherBS DC
MDS108Medicare ID - Type UnspecifiedMC GRP #