Individual
DR. ANTHONY J CASTROVINCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7915 MUNSON RD, MENTOR, OH 44060
(440) 951-2304
(440) 951-2304
Mailing address
7915 MUNSON RD, MENTOR, OH 44060
(440) 951-2304
(440) 951-2304
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-031291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127937
ANTHEM
OH
Enumeration date
10/05/2006
Last updated
07/08/2007
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