Individual
DR. ELSA I CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1623 ROUTE 88 W, BRICK, NJ 08724-3048
(732) 458-9666
(908) 325-1832
Mailing address
PO BOX 1719, 1623 ROUTE 88 WEST SUITE A, BRICK, NJ 08723-1064
(732) 458-9666
(732) 458-0840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA06951100
NJ
2080P0202X
Pediatric Cardiology Physician
Primary
25MA06951100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06951100
LICENSE
NJ
05
—
8331006
—
NJ
Enumeration date
03/06/2006
Last updated
02/03/2025
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