Basic Information
Provider Information
NPI: 1972967354
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KASSA
FirstName: HILINA
MiddleName: TSEHAY
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3023026515
FaxNumber: 3026515954
Practice Location
Address1: 1600 ROCKLAND RD STE 2B80
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026515674
FaxNumber: 3026515954
Other Information
ProviderEnumerationDate: 04/11/2016
LastUpdateDate: 03/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XC7-0006183DEN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0204XMD465909PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine

No ID Information.


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