Organization
CARLOS FERNANDEZ-DEL CASTILLO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS F FERNANDEZ-DEL CASTILLO M.D. (PROVIDER)
(617) 726-5644
Entity
Organization
Contact information
Practice address
15 PARKMAN ST, WAC 460, BOSTON, MA 02114-3117
(617) 726-5644
(617) 724-3383
Mailing address
15 PARKMAN ST, WAC 460, BOSTON, MA 02114-3117
(617) 726-5644
(617) 724-3383
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
78466
MA
208600000X
Surgery Physician
Primary
78466
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081826
—
MA
01
—
722156
TUFTS
MA
01
—
M18870
BLUE SHIELD
MA
Enumeration date
08/29/2007
Last updated
08/29/2007
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