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NPI 1609826429

NPI 1609826429 : GILBERT KASIRSKY D.O. : FEASTERVILLE TREVOSE, PA

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General NPI Number Information
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    NPI Number           |    1609826429
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    Entity Type          |    Individual 
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    Provider Name        |    GILBERT KASIRSKY D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/11/2006
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    Last Update Date     |    06/03/2021
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Provider Practice Location Address
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    Address Line         |    178 W STREET RD 
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    City                 |    FEASTERVILLE TREVOSE
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    State                |    PA
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    Zip                  |    19053-7817
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    Country              |    US
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    Telephone            |    215-710-6490
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    Fax                  |    215-710-6492
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Provider Business Mailing Address
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    Address Line         |    41 UNIVERSITY DR SUITE 300
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    City                 |    NEWTOWN
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    State                |    PA
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    Zip                  |    18940-1873
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    Country              |    US
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    Telephone            |    215-710-5522
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    Fax                  |    215-710-5181
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OS003198L
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    License Number State |    PA
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