Individual
XIMENA M CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453
(978) 466-4169
(978) 466-4164
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230300
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9771476
MEDICAID GROUP
MA
01
—
M20928
MEDICAID GROUP
MA
Enumeration date
10/09/2006
Last updated
10/28/2020
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