Individual
EDUARDO DOMINGUEZ CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, 812 PARKINSON PAVILION, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-6867
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD457958
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD457958
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD457958
PA
Other
Enumeration date
04/10/2013
Last updated
08/13/2020
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