Provider Demographics
NPI:1588382535
Name:UD HEALTH LLC
Entity type:Organization
Organization Name:UD HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JED
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTELLUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-831-2705
Mailing Address - Street 1:100 DISCOVERY BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1325
Mailing Address - Country:US
Mailing Address - Phone:302-831-1165
Mailing Address - Fax:302-309-9163
Practice Address - Street 1:100 DISCOVERY BLVD STE 211
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1325
Practice Address - Country:US
Practice Address - Phone:302-831-1165
Practice Address - Fax:302-309-9163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty