Individual
JOSE I CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 E BROAD ST, HAZLETON, PA 18201-5667
(570) 459-2902
(570) 459-6090
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD069930L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018925840002
—
PA
Enumeration date
08/23/2005
Last updated
08/10/2020
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