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General NPI Number Information
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NPI Number | 1639146954
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Entity Type | Individual
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Provider Name | ELSA I CASTRO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1623 ROUTE 88 W
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City | BRICK
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State | NJ
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Zip | 08724-3048
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Country | US
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Telephone | 732-458-9666
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Fax | 908-325-1832
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Provider Business Mailing Address
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Address Line | PO BOX 1719 1623 ROUTE 88 WEST SUITE A
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City | BRICK
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State | NJ
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Zip | 08723-1064
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Country | US
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Telephone | 732-458-9666
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Fax | 732-458-0840
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA06951100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 25MA06951100
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License Number State | NJ
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