Organization
DEVELOPMENTAL DISABILITIES HEALTH SERVICES PA
Active
Other names
Developmental Disabilites Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE ANDREW KASTNER M.D., M. S. (PRESIDENT)
(973) 338-4200
Entity
Organization
Contact information
Practice address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(973) 338-4200
(973) 338-4440
Mailing address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(973) 338-4200
(973) 338-4440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161730
—
NJ
05
—
8448701
—
NJ
Enumeration date
07/21/2006
Last updated
06/17/2015
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