Organization
CARONDELET SPECIALIST GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTEN A CASTELLANO MBA (EXECUTIVE VICE PRESIDENT/CHIEF STRA)
(520) 872-7638
Entity
Organization
Contact information
Practice address
2202 N. FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7265
(520) 872-7929
Mailing address
2202 N. FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7265
(520) 872-7929
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29552
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
29552
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325160
—
AZ
Enumeration date
12/17/2007
Last updated
06/27/2013
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