Peter Dellabella in Montclair - Neurodevelopmental Disabilities

Peter Dellabella - NPI 1235329103

Peter Dellabella is a Neurodevelopmental Disabilities in Montclair, New Jersey. Peter Dellabella practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Peter Dellabella is 1235329103. The last update date is 2015-06-19.

Peter Dellabella's current location address is 62 Beverley Rd, Montclair, New Jersey. You can contact this provider via phone number 9175147979. The mailing address for Peter Dellabella is 62 Beverley Rd, Montclair, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Dellabella
Address 62 Beverley Rd, Montclair, New Jersey
Phone Number 9175147979
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1235329103
Provider Enumeration Date 2007-07-27
Last Updated Date 2015-06-19

Provider Mailing Address Detail

Address 62 Beverley Rd
City Montclair
State New Jersey (NJ)
Post Code 70432403
Phone Number 9175147979
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurodevelopmental Disabilities
Taxonomy 2084P0005X
Licence No MD20113
Definition:
A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
180105 NY LICENSE NUMBER
25MA08480300 NJ NEW JERSEY MEDICAL LICENSE
MD20113 ME MAINE MEDICAL LICENSE

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FAQs about Peter Dellabella

What is the unique identifier code issued to Peter Dellabella by the Centers for Medicare & Medicaid Services (CMS)?

The Peter Dellabella has been assigned the NPI (National Provider Identifier) 1235329103. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Peter Dellabella's facilities are geographically located?

The facilities of Peter Dellabella are physically situated at the following location: 62 Beverley Rd, Montclair, NJ, 70432403.

What is Peter Dellabella'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 Peter Dellabella is Neurodevelopmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 2084P0005X.

On what date did the Centers for Medicare & Medicaid Services assign the 1235329103 to Peter Dellabella?

The Centers for Medicare & Medicaid Services assigned the 1235329103 to Peter Dellabella on 2007-07-27.

As of what date were the Peter Dellabella's details last updated?

The information pertaining to the Peter Dellabella, including its address, specialty, and other details, was most recently updated on 2015-06-19.

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