Organization
CASTLE HEALTH CARE
Active
Parent organization
THE KIDNEY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE KIDNEY GROUP
Authorized official
DR. FRANK JOSEPH CASELLA D.O. (VICE PRESIDENT)
(973) 877-5522
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 624-4908
(973) 877-5595
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 624-4908
(973) 877-5595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB053986
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6210201
—
NJ
Enumeration date
10/02/2008
Last updated
10/02/2008
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