Organization
CORTICA NEW JERSEY DEVELOPMENTAL THERAPIES, PC
Active
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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