Organization
NEWCO, WOMEN'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO F CASTILLO M.D. (MANAGING PARTNER)
(504) 366-7233
Entity
Organization
Contact information
Practice address
515 WESTBANK EXPY, SUITE 7, GRETNA, LA 70053-5644
(504) 366-7233
(504) 366-0686
Mailing address
515 WESTBANK EXPY, SUITE 7, GRETNA, LA 70053-5644
(504) 366-7233
(504) 366-0686
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0034809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441325
—
LA
01
—
CH5429
RAILROAD MEDICARE
LA
Enumeration date
08/08/2006
Last updated
11/27/2007
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