Individual
JESSICA CASTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
650 FROM RD STE 420, PARAMUS, NJ 07652-3551
(201) 639-6620
Mailing address
1012 QUAIL PL, BRIELLE, NJ 08730-1116
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00788700
NJ
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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