Organization
AMANTE N. DECASTRO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANTE N. DECASTRO M.D. (OWNER)
(856) 935-7200
Entity
Organization
Contact information
Practice address
4 BY PASS RD, SUITE 202, SALEM, NJ 08079-2053
(856) 935-7200
(856) 935-9655
Mailing address
4 BY PASS RD, SUITE 202, SALEM, NJ 08079-2053
(856) 935-7200
(856) 935-9655
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
25MA03018900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190705
—
NJ
Enumeration date
04/19/2007
Last updated
02/16/2011
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