Individual
CHRISTINE CASTLE
Active
Individual
CHRISTINE CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
67852
FALLON COMMUNITY HEALTH P
—
01
—
7559582
AETNA US HEALTHCARE
—
01
—
AA17030
HARVARD PILGRIM HEALTHCAR
—
01
—
LD0137
BLUE CROSS
—
01
—
MT0712
MEDICARE B
—
Enumeration date
08/22/2006
Last updated
09/26/2018
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