MEDICARE: DR. CYNTHIA EMA CASTIGLIONI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	125-051095	IL
2	208000000X	Pediatrics Physician	036-121928	IL
3	208000000X	Pediatrics Physician	V1749	TX

General Provider Information

NPI Number	:	1053569046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA EMA CASTIGLIONI M.D.

Provider Business Mailing Address
First Line	:	4900 MUELLER BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3051
Country	:	US
Telephone Number	:	512-324-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 MUELLER BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3051
Country	:	US
Telephone Number	:	512-324-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	08/26/2024

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