Individual
DR. JEFFREY M. NICASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 OSBORNE ST STE 209, DANBURY, CT 06810-6000
(203) 739-7131
(203) 739-1554
Mailing address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7131
(203) 739-1554
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
179518
NY
2086S0102X
Surgical Critical Care Physician
Primary
36193
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01867858
—
NY
Enumeration date
12/30/2005
Last updated
01/04/2019
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