Individual
JOANNE CASTILLO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2722 E MICHIGAN AVE STE 209, LANSING, MI 48912-4005
(314) 888-5233
(203) 590-8644
Mailing address
711 SILVERMINE RD, NEW CANAAN, CT 06840-4329
(314) 888-5233
(203) 590-8644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301116555
MI
207Q00000X
Family Medicine Physician
MD449325
PA
207Q00000X
Family Medicine Physician
MT197208
PA
Other
Enumeration date
06/17/2010
Last updated
01/19/2023
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