Individual
MR. MARK A CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 741-3296
Mailing address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 741-3296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056070
PA
Other
Enumeration date
04/23/2013
Last updated
10/15/2021
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