Provider Demographics
NPI:1841222643
Name:ROBERT L. KASPER, M.D. AND ROBERT A. LOEB, M.D., P.A.
Entity Type:Organization
Organization Name:ROBERT L. KASPER, M.D. AND ROBERT A. LOEB, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-282-5954
Mailing Address - Street 1:1105 N POINT BLVD
Mailing Address - Street 2:SUITE 323
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3419
Mailing Address - Country:US
Mailing Address - Phone:410-282-5954
Mailing Address - Fax:410-282-3080
Practice Address - Street 1:1105 N POINT BLVD
Practice Address - Street 2:SUITE 323
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3419
Practice Address - Country:US
Practice Address - Phone:410-282-5954
Practice Address - Fax:410-282-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKBI9KAOtherCAREFIRST
GADC6317OtherRAILROAD MEDICARE
DCR589OtherCAREFIRST
MD534MMedicare PIN