Organization
CASTILLO & CASTILLO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRIGO I CASTILLO M.D. (PHYSICIAN)
(201) 869-4044
Entity
Organization
Contact information
Practice address
5801 BROADWAY, WEST NEW YORK, NJ 07093-2719
(201) 869-4044
(201) 869-4105
Mailing address
5801 BROADWAY, WEST NEW YORK, NJ 07093-2719
(201) 869-4044
(201) 869-4105
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
55180
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1757806
—
NJ
Enumeration date
03/21/2007
Last updated
11/14/2011
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