Individual
MRS. LISA CASTENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5800 RIDGE AVENUE, ROXBOROUGH MEMORIAL HOSPITAL, PHILADELPHIA, PA 19128
(215) 487-4312
(215) 487-4689
Mailing address
5800 RIDGE AVENUE, ROXBOROUGH MEMORIAL HOSPITAL, PHILADELPHIA, PA 19128
(215) 487-4312
(215) 487-4689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001570L
PA
Other
Enumeration date
07/12/2012
Last updated
05/03/2013
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