Individual
ANGEL ERNESTO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1450 CHAPEL ST, VERDI 3 SOUTH 3021, NEW HAVEN, CT 06511-4405
(203) 789-4140
(203) 789-6617
Mailing address
226 MILL HILL AVE, 3RD FL, C/O NORTHEAST MEDICAL GROUP, INC., BRIDGEPORT, CT 06610-2826
(203) 789-4140
(203) 789-6617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3618
CT
363AS0400X
Surgical Physician Assistant
Primary
3618
CT
Other
Enumeration date
05/26/2016
Last updated
05/14/2019
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