Provider Demographics
NPI:1811175649
Name:KASPER, DAVID ANDREW (DO MBA)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:KASPER
Suffix:
Gender:M
Credentials:DO MBA
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Mailing Address - Street 1:1240 S BROAD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5395
Mailing Address - Country:US
Mailing Address - Phone:215-392-6636
Mailing Address - Fax:215-412-3587
Practice Address - Street 1:1240 S BROAD ST STE 200
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5395
Practice Address - Country:US
Practice Address - Phone:215-392-6636
Practice Address - Fax:215-412-3587
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2019-04-22
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Provider Licenses
StateLicense IDTaxonomies
PAOS014563207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOT012122OtherOSTEOPATHIC TRAINING