Provider Demographics
NPI:1861457145
Name:KAPP, ANTON JR (MD)
Entity Type:Individual
Prefix:
First Name:ANTON
Middle Name:
Last Name:KAPP
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 BYBERRY RD STE 1203
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3524
Mailing Address - Country:US
Mailing Address - Phone:215-517-1100
Mailing Address - Fax:
Practice Address - Street 1:1800 BYBERRY RD STE 1203
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3524
Practice Address - Country:US
Practice Address - Phone:215-517-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027952E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA131182ELYMedicare ID - Type Unspecified
PAB37633Medicare UPIN