Organization
DEVELOPMENTAL DISABILITIES HEALTH ALLIANCE, INC
Active
Other names
Developmental Disabilities Health Services, PA
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE A 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
MA47761
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8448701
—
NJ
Enumeration date
10/13/2009
Last updated
10/13/2009
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