Individual
EDWIN TATOY CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10324 OLD OCEAN CITY BLVD, BERLIN, MD 21811-1132
(410) 629-0041
(410) 629-0544
Mailing address
10324 OLD OCEAN CITY BLVD, BERLIN, MD 21811-1132
(410) 629-0041
(410) 629-0544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO046257
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317601100
—
MD
Enumeration date
07/28/2005
Last updated
09/29/2011
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