Developmental Disabilities Health Services Pa in Bloomfield - Specialist
Developmental Disabilities Health Services Pa - NPI 1417977257
Developmental Disabilities Health Services Pa is a Specialist in Bloomfield, New Jersey. Developmental Disabilities Health Services Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Developmental Disabilities Health Services Pa is 1417977257. The last update date is 2015-06-17.
Developmental Disabilities Health Services Pa's current location address is 1285 Broad St, Bloomfield, New Jersey. You can contact this provider via phone number 9733384200 and fax number 9733384440. The mailing address for Developmental Disabilities Health Services Pa is 1285 Broad St, Bloomfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Developmental Disabilities Health Services Pa |
|---|---|
| Address | 1285 Broad St, Bloomfield, New Jersey |
| Phone Number | 9733384200 |
| Fax Number | 9733384440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kastner Andrew Theodore |
| Credentials | M.D., M. S |
| Telephone Number | 9733384200 |
NPI Number Detail
| NPI Number | 1417977257 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2015-06-17 |
Provider Mailing Address Detail
| Address | 1285 Broad St |
|---|---|
| City | Bloomfield |
| State | New Jersey (NJ) |
| Post Code | 70033045 |
| Phone Number | 9733384200 |
| Fax Number | 9733384440 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161730 | NJ | -- | |
| 8448701 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Developmental Disabilities Health Services Pa by the Centers for Medicare & Medicaid Services?
The Developmental Disabilities Health Services Pa has been assigned the NPI (National Provider Identifier) 1417977257 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Developmental Disabilities Health Services Pa is physically located?
The Developmental Disabilities Health Services Pa is situated at the following address: 1285 Broad St, Bloomfield, NJ 70033045.
What is Developmental Disabilities Health Services Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Developmental Disabilities Health Services Pa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Developmental Disabilities Health Services Pa receive its 1417977257 assignment from the Centers for Medicare & Medicaid Services?
The Developmental Disabilities Health Services Pa was assigned its 1417977257 on 2006-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Developmental Disabilities Health Services Pa most recently updated or revised?
The information pertaining to Developmental Disabilities Health Services Pa, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-17.