Provider Demographics
NPI:1134998529
Name:KASSIR, NATALIE LIN
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LIN
Last Name:KASSIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 PEMBERTON RDG
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:MD
Mailing Address - Zip Code:21013-9530
Mailing Address - Country:US
Mailing Address - Phone:443-680-3844
Mailing Address - Fax:
Practice Address - Street 1:658 BOULTON ST STE A
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4563
Practice Address - Country:US
Practice Address - Phone:667-276-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program