Developmental Disabilities Health Services PA

NPI #1417977257 in Bloomfield, New Jersey

Provider Information

NPI Number: 1417977257
Entity Type: Organization
Organization Name: Developmental Disabilities Health Services PA
Primary Specialty: Specialist
Enumeration Date: Jul 21, 2006
Last Updated: Jun 17, 2015

Practice Location

Address: 1285 BROAD ST
City: Bloomfield
State: New Jersey
ZIP Code: 07003-3045
Phone: (973) 338-4200

Authorized Official

Name: DR. THEODORE ANDREW KASTNER, M.D., M. S.
Title: PRESIDENT
Phone: (973) 338-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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