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Individual
DR. ROBERT JOHN CASTELLI
Active
Individual
DR. ROBERT JOHN CASTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004630
NY
332B00000X
Durable Medical Equipment & Medical Supplies
NY004630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01157253
—
NY
05
—
04196609
—
NY
01
—
NY004630
NY STATE LICENSE NUMBER
NY
01
—
PO 002040
FLORIDA STATE LICENSE
FL
Enumeration date
06/25/2005
Last updated
10/08/2019
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