Individual
DR. CARLOS FERNANDEZ-DEL-CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 336, BOSTON, MA 02114-3117
(617) 726-5644
(617) 724-3383
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-5644
(617) 724-3383
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
78466
MA
208600000X
Surgery Physician
Primary
78466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081826
—
MA
01
—
722156
TUFTS HEALTH PLAN
MA
01
—
J11634
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
12/03/2012
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