MEDICARE: DR. FREDERICK J KASKEL MD,PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0210X	Pediatric Nephrology Physician	126248	NY

General Provider Information

NPI Number	:	1699851535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK J KASKEL MD,PH.D

Provider Business Mailing Address
First Line	:	1251 RALEIGH RD
Second Line	:
City	:	MAMARONECK
State	:	NY
Zip	:	10543-1232
Country	:	US
Telephone Number	:	718-741-2450
Fax Number	:	718-652-3136

Provider Business Practice Location Address
First Line	:	1251 RALEIGH RD
Second Line	:
City	:	MAMARONECK
State	:	NY
Zip	:	10543-1232
Country	:	US
Telephone Number	:	718-741-2450
Fax Number	:	718-652-3136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/08/2007

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