Provider Demographics
NPI:1104014232
Name:DAVID A. TESTA, D.O., P.A.
Entity Type:Organization
Organization Name:DAVID A. TESTA, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-478-3556
Mailing Address - Street 1:524 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3259
Mailing Address - Country:US
Mailing Address - Phone:973-478-3556
Mailing Address - Fax:
Practice Address - Street 1:524 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-3259
Practice Address - Country:US
Practice Address - Phone:973-478-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty