Individual
MARCO ANTONIO CASTILLO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3300
(860) 545-5000
(860) 545-5066
Mailing address
2 CORPORATE DR FL 9, SHELTON, CT 06484-6238
(203) 929-7353
(866) 623-8110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75453
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75453
CONNECTICUT LICENSE
CT
05
—
75453
—
CT
01
—
T4881
MISSISSIPPI STATE BOARD LICENSURE
MS
Enumeration date
05/22/2017
Last updated
01/27/2025
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