Individual
NICHOLAS ANTHONY DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
249 HERSOM ST, NEW BEDFORD, MA 02745-5819
(774) 929-5231
Mailing address
249 HERSOM ST, NEW BEDFORD, MA 02745-5819
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2815
MA
Other
Enumeration date
09/04/2014
Last updated
08/05/2021
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