Healthcare Provider Details

I. General information

NPI: 1710088455
Provider Name (Legal Business Name): MOLLY CASTILLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 S CHURCH ST STE 100
MT PLEASANT PA
15666-1702
US

IV. Provider business mailing address

508 S CHURCH ST STE 100
MT PLEASANT PA
15666-1702
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-4536
  • Fax: 724-547-3799
Mailing address:
  • Phone: 724-547-4536
  • Fax: 724-547-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD420497
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberMD420497
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: