Individual
DR. PETER J CASTERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E JEFFERSON ST, 610, SEATTLE, WA 98122-5698
(206) 320-5391
(206) 215-4550
Mailing address
550 17TH AVE, 680, SEATTLE, WA 98122
(206) 320-5391
(206) 215-4550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4963061-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002082167
—
NV
01
—
060065011
RR MEDICARE
—
05
—
116655700
—
WY
05
—
806129500
—
ID
05
—
D4141
—
UT
Enumeration date
03/09/2006
Last updated
10/14/2011
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