Individual
DR. LUCIANO CASTILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29TH STREET AT AVENUE E, BAYONNE, NJ 07002
(201) 858-5461
(201) 243-4229
Mailing address
29TH STREET AT AVENUE E, BAYONNE, NJ 07002
(201) 858-5461
(201) 243-4229
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04909700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004499
—
NJ
Enumeration date
06/13/2005
Last updated
11/01/2007
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