Individual
PLUTARCO E CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MEMORIAL DRIVE, SUITE 113, LEOMINSTER, MA 01453
(978) 466-2692
(978) 466-4754
Mailing address
PO BOX 726, LEOMINSTER, MA 01453
(978) 466-2692
(978) 466-4754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
211208
MA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
211028
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
211028
MA
207RP1001X
Pulmonary Disease Physician
Primary
211028
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167801
—
MA
01
—
M20928
GROUP MEDICAL
—
Enumeration date
11/02/2005
Last updated
10/06/2010
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