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Organization
RICHARD M KASTELIC MD & ASSOC PC
Active
Organization
RICHARD M KASTELIC MD & ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M. KASTELIC MD (PRESIDENT)
(814) 288-1418
Entity
Organization
Contact information
Practice address
322 WARREN ST, STE 300, JOHNSTOWN, PA 15905-3437
(814) 288-4498
(814) 288-5427
Mailing address
322 WARREN ST, STE 300, JOHNSTOWN, PA 15905-3443
(814) 288-4498
(814) 288-5427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD040121L
PA
213E00000X
Podiatrist
MD040121L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007743550005
—
PA
05
—
1007743550007
—
PA
Enumeration date
05/19/2006
Last updated
11/13/2007
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