Healthcare Provider Details

I. General information

NPI: 1497051650
Provider Name (Legal Business Name): THOMAS E. KASPER, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2011
Last Update Date: 02/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11119 ROCKVILLE PIKE SUITE # 208
ROCKVILLE MD
20852-3142
US

IV. Provider business mailing address

11119 ROCKVILLE PIKE SUITE # 208
ROCKVILLE MD
20852-3143
US

V. Phone/Fax

Practice location:
  • Phone: 301-468-0680
  • Fax: 301-468-3609
Mailing address:
  • Phone: 301-468-0680
  • Fax: 301-468-3609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS E KASPER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-468-0680