Healthcare Provider Details

I. General information

NPI: 1750217188
Provider Name (Legal Business Name): GIANNA CASTELLANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W BLACKWELL ST
DOVER NJ
07801-2525
US

IV. Provider business mailing address

10 CODINGTON LN
WARREN NJ
07059-6853
US

V. Phone/Fax

Practice location:
  • Phone: 973-537-3863
  • Fax:
Mailing address:
  • Phone: 908-608-7120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: