Healthcare Provider Details

I. General information

NPI: 1144494600
Provider Name (Legal Business Name): JOHN RICHARD CASTIGLIONI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 FORSYTHIA LANE
PILESGROVE NJ
08098
US

IV. Provider business mailing address

50 FORSYTHIA LANE
PILESGROVE NJ
08098
US

V. Phone/Fax

Practice location:
  • Phone: 856-769-3152
  • Fax: 856-769-3152
Mailing address:
  • Phone: 856-769-3152
  • Fax: 856-769-3152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MB02321600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: