Individual
WILLIAM CASTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
293 PASSAIC STREET, PASSAIC, NJ 07055
(973) 365-1377
(973) 365-1229
Mailing address
PO BOX 568, PATERSON, NJ 07544-0568
(973) 365-1377
(973) 365-1229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02465100
NJ
208600000X
Surgery Physician
25MA02465100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477050101
—
NJ
Enumeration date
01/22/2007
Last updated
01/19/2011
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