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Individual

THOMAS G CASTELLANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
762 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
(970) 775-7284
Mailing address
762 W EISENHOWER BLVD, LOVELAND, CO 80537-3157
(970) 775-7284

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35014
CO
208D00000X
General Practice Physician
Primary
0035014
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01350149
CO
Enumeration date
11/21/2005
Last updated
12/27/2023
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