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NPI Code Detail

MEDICARE: MICHELLE M CASTANO APN

MEDICARE:   MICHELLE M CASTANO  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0106XOccupational Health Nurse Practitioner26NJ01001400NJ

General Provider Information

NPI Number : 1124659776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE M CASTANO APN
Provider Business Mailing Address
First Line : 500 CRANFORD AVE
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-2531
Country : US
Telephone Number : 908-967-1053
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S PARK AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-1610
Country : US
Telephone Number : 908-523-5054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 06/10/2025

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Directions to “ MICHELLE M CASTANO APN” Practice Location

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