| Doctor Name: | MR. JESSE PHILIP KASITZ |
| NPI Number: | 1154754471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | SP013051 |
| Business Practice Address: | 420 W Linfield Trappe Rd Suite #3200 Limerick, PA - 194684278 |
| Business Phone Number: | 6104952550 |
| Business Fax Number: | 6104952588 |
| Mailing Address: | 250 Anthonys Mill Rd, BECHTELSVILLE |
| State: | PA |
| Postal Code: | 195059145 |
| Phone Number: | 6103693928 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2013 |
| NPI Last Update Date: | 08/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | SP013051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |