Kastner, Theodore Andrew

Kastner, Theodore Andrew is an sole proprietor health care provider with primary practice located at 1285 Broad St , Bloomfield NJ 07003-3045. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Kastner, Theodore Andrew can be contacted via phone (973) 338-4200.

Contact Information

Primary practice address
1285 Broad St Bloomfield NJ 07003-3045
Phone: (973) 338-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X MA47761 New Jersey

Profile Details

NPI number 1942226154
LBN Legal business name Kastner, Theodore Andrew
Credentials M.D.,M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Apr 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942226154 NPPES
New Jersey MEDICAID 1212907

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