Provider Demographics
NPI:1932320249
Name:KASTENBERG, JUDITH SNYDER (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:SNYDER
Last Name:KASTENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 SOUTH 17TH STREET
Mailing Address - Street 2:SUITE 2810
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103
Mailing Address - Country:US
Mailing Address - Phone:215-545-2145
Mailing Address - Fax:215-545-2999
Practice Address - Street 1:255 SOUTH 17TH STREET
Practice Address - Street 2:SUITE 2810
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103
Practice Address - Country:US
Practice Address - Phone:215-545-2145
Practice Address - Fax:215-545-2999
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060539L2084P0015X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry