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Individual

DR. JERRY REYES CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
341 S. MARINE CORP DR. - SUITE 104, TAMUNING, GU 98913
(671) 989-1368
(671) 989-2360
Mailing address
341 S. MARINE CORP DRIVE - SUITE 104, TAMUNING, GU 96913
(671) 989-1368
(971) 989-2360

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
236169
NY
207Y00000X
Otolaryngology Physician
Primary
M-1744
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H110007
GU
Enumeration date
08/21/2007
Last updated
07/21/2022
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