Watutantrige Takshan Dealwis in Alpine - Child & Adolescent Psychiatry
Watutantrige Takshan Dealwis - NPI 1396798120
Watutantrige Takshan Dealwis is a Child & Adolescent Psychiatry in Alpine, New Jersey. Watutantrige Takshan Dealwis practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Watutantrige Takshan Dealwis is 1396798120. The last update date is 2011-11-15.
Watutantrige Takshan Dealwis's current location address is 71 Berkely Place, Alpine, New Jersey. You can contact this provider via phone number 2017501907. The mailing address for Watutantrige Takshan Dealwis is 71 Berkely Place, Alpine, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Watutantrige Takshan Dealwis |
---|---|
Address | 71 Berkely Place, Alpine, New Jersey |
Phone Number | 2017501907 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1396798120 |
---|---|
Provider Enumeration Date | 2006-05-19 |
Last Updated Date | 2011-11-15 |
Provider Mailing Address Detail
Address | 71 Berkely Place |
---|---|
City | Alpine |
State | New Jersey (NJ) |
Post Code | 7620 |
Phone Number | 2017501907 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
---|---|
Taxonomy | 2084P0804X |
Licence No | 25MA04286900 |
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6358900 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Watutantrige Takshan Dealwis?
The Watutantrige Takshan Dealwis has been issued the NPI (National Provider Identifier) 1396798120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Watutantrige Takshan Dealwis's facilities are situated?
The facilities of Watutantrige Takshan Dealwis are physically located at the following address: 71 Berkely Place, Alpine, NJ, 7620.
What is Watutantrige Takshan Dealwis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Watutantrige Takshan Dealwis is Child & Adolescent Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396798120 to Watutantrige Takshan Dealwis?
The Centers for Medicare & Medicaid Services originally issued the 1396798120 to Watutantrige Takshan Dealwis on 2006-05-19.
When was the information regarding Watutantrige Takshan Dealwis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Watutantrige Takshan Dealwis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-15.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL