Organization
FIRST STATE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MARCIANO CASTRO M.D. (PRESIDENT)
(302) 999-8169
Entity
Organization
Contact information
Practice address
2055 LIMESTONE RD, STE 111, WILMINGTON, DE 19808-5536
(302) 565-4616
(302) 565-4617
Mailing address
PO BOX 1137, HOCKESSIN, DE 19707-5137
(302) 565-4616
(302) 565-4617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10006064
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699806257
—
DE
Enumeration date
03/07/2007
Last updated
03/07/2018
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