# JOSE CASTILLO, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356552368
- **Authorized official:** DR. JOSE CASTILLO M.D. (PHYSICIAN)
- **Authorized official phone:** (215) 567-5846

## Contact information

- **Practice address:** 228 S 22ND ST, PHILADELPHIA, PA 19103-5520
- **Practice address phone:** (215) 567-5846
- **Mailing address:** 228 S 22ND ST, PHILADELPHIA, PA 19103-5520
- **Mailing address phone:** (215) 567-5846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD031465L | PA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/10/2007