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
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942226154 | NPPES |
| New Jersey | MEDICAID | 1212907 |
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