Provider Demographics
NPI:1922634583
Name:DIGITAL THERAPEUTICS INC.
Entity Type:Organization
Organization Name:DIGITAL THERAPEUTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PRODUCT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:FYNN
Authorized Official - Last Name:AGERTOFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-717-4312
Mailing Address - Street 1:PS.03 THIRD FLOOR, 8-14 VERULAM ST, HOLBORN
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:GREATER LONDON
Mailing Address - Zip Code:WC1X 8LZ
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PS.03 THIRD FLOOR, 8-14 VERULAM ST, HOLBORN
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:GREATER LONDON
Practice Address - Zip Code:WC1X 8LZ
Practice Address - Country:GB
Practice Address - Phone:559-717-4312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty