Provider Demographics
NPI:1740304062
Name:KASHLAN & SCHREIBER PA
Entity type:Organization
Organization Name:KASHLAN & SCHREIBER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:TAHER
Authorized Official - Last Name:KASHLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-280-0020
Mailing Address - Street 1:1540 STATE ROUTE 138
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3763
Mailing Address - Country:US
Mailing Address - Phone:732-280-0020
Mailing Address - Fax:
Practice Address - Street 1:1540 STATE ROUTE 138
Practice Address - Street 2:SUITE 201
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-3763
Practice Address - Country:US
Practice Address - Phone:732-280-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
445857Medicare ID - Type Unspecified