Provider Demographics
NPI:1588928089
Name:KASTL, ARTHUR JAMES JR (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JAMES
Last Name:KASTL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3131 WALNUT ST
Mailing Address - Street 2:APT 457
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3415
Mailing Address - Country:US
Mailing Address - Phone:267-414-6819
Mailing Address - Fax:215-590-3606
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:DIVISION OF GASTROENTEROLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-3630
Practice Address - Fax:215-590-3606
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2017-05-08
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Provider Licenses
StateLicense IDTaxonomies
IL125-061922207R00000X, 208000000X
PAMT2120702080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics