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General NPI Number Information
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NPI Number | 1316788102
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Entity Type | Organization
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Legal Business Name | CASTELLANO MEDICAL CARE L.L.C.
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 70 E FRONT ST FL 5
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City | RED BANK
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State | NJ
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Zip | 07701-1851
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Country | US
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Telephone | 908-340-2746
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Fax | 908-498-5045
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Provider Business Mailing Address
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Address Line | 66 KINGS HWY
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2532
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Country | US
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Telephone | 908-340-2746
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Fax | 908-498-5045
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER R. CASTELLANO
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Credential | PA-C
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Telephone | 908-340-2746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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