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Individual

DR. MARIO CASTILLO-SANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-9010
(859) 301-9018

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2010003180
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2010003180
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34641
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35126643
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
51353
KY

Other

Enumeration date
07/28/2008
Last updated
11/04/2021
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