Individual
MR. BRIAN C. POLICASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1945 RTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4949
(732) 776-4843
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00123100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1162444
RAILROAD MEDICARE
—
Enumeration date
03/28/2006
Last updated
01/21/2025
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