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Individual
RONALD R CASTONGUAY
Active
Individual
RONALD R CASTONGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A551670
—
CA
01
—
184324800
USDL
CA
01
—
ZZZ17834Z
BLUE SHIELD
CA
Enumeration date
01/29/2007
Last updated
06/11/2009
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