Healthcare Provider Details

I. General information

NPI: 1275495913
Provider Name (Legal Business Name): MARLIN CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WAHTERA RD
PEABODY MA
01960-3174
US

IV. Provider business mailing address

14 WAHTERA RD
PEABODY MA
01960-3174
US

V. Phone/Fax

Practice location:
  • Phone: 781-602-0867
  • Fax:
Mailing address:
  • Phone: 781-602-0867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: