Individual
NICOLAS ANDRE CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 WOOD VIEW DR, MOUNT LAUREL, NJ 08054-4515
(856) 206-9437
Mailing address
13 WOOD VIEW DR, MOUNT LAUREL, NJ 08054-4515
(856) 206-9437
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD036869
DC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
87954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102508993 0001
—
PA
Enumeration date
05/16/2008
Last updated
05/19/2025
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