Provider Demographics
NPI:1801565957
Name:KASARDA, ADAM
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:KASARDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ADAM
Other - Middle Name:
Other - Last Name:KASARDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4144
Mailing Address - Country:US
Mailing Address - Phone:908-319-7377
Mailing Address - Fax:
Practice Address - Street 1:11 RIDGE ST
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4144
Practice Address - Country:US
Practice Address - Phone:908-319-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ777445443010207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine