Individual
DR. RANDY CASTILLEJO TALAMAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 ROUTE 70, SUITE 1005, LAKEWOOD, NJ 08701-5947
(732) 942-0888
(732) 942-1230
Mailing address
1215 ROUTE 70, SUITE 1005, LAKEWOOD, NJ 08701-5947
(732) 942-0888
(732) 942-1230
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
MA070826
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8313806
—
NJ
Enumeration date
01/24/2006
Last updated
07/08/2007
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