Basic Information
| Provider Information | |||||||||
| NPI: | 1154458735 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KASSELS | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 NORTH ELM STREET | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01085 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135686600 | ||||||||
| FaxNumber: | 4135628360 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 N ELM ST | ||||||||
| Address2: | |||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010851643 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135686600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 77240 | MA | X | Allopathic & Osteopathic Physicians | Internal Medicine | 207RA0401X | 77240 | MA | X | Allopathic & Osteopathic Physicians | Internal Medicine | Addiction Medicine |
No ID Information.