Individual
MR. MAXWELL CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-3380
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-3380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00239000
NJ
Other
Enumeration date
08/04/2010
Last updated
05/15/2012
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