Organization
CORTICA NEW JERSEY DEVELOPMENTAL THERAPIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL HATTANGADI MD (CEO)
(858) 216-8837
Entity
Organization
Contact information
Practice address
67A MOUNTAIN BOULEVARD, EXT 1ST FLOOR, UNIT B, WARREN, NJ 07059-2737
(908) 873-6337
(908) 332-5668
Mailing address
6160 CORNERSTONE CT E STE 100, SAN DIEGO, CA 92121-3724
(858) 216-8837
(888) 383-0040
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
12/27/2024
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