Individual
ELMA DEVILLA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
(201) 869-4044
(201) 869-4105
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA54824
NJ
Other
Enumeration date
12/05/2006
Last updated
11/14/2011
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